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ANCY ALEXANDER DO
NPI 1093395923
Pediatrics - Pediatric Emergency Medicine in Syracuse, NY

Active since April 13, 2021PECOS Enrolled
4900 BROAD ROAD, 1ST FL, SYRACUSE, NY 13215(315) 492-5437(315) 492-5502 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ancy Alexander Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANCY ALEXANDER DO (NPI 1093395923) is an individual pediatric emergency medicine provider in Syracuse, New York, licensed in New York (332666) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093395923
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameANCY ALEXANDERCredential: DO
Location Address4900 BROAD ROAD, 1ST FLSyracuse, NY 13215
Mailing Address4900 Broad Road, 1st FlSyracuse, NY 13215 · (315) 492-5437 · Fax (315) 492-5502
Phone(315) 492-5437
Fax(315) 492-5502
Sole ProprietorNo
Enumeration DateApril 13, 2021
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedApril 9, 2021
✔ NPI 1093395923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NY · 332666
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
4900 BROAD ROAD, Syracuse, NY 13215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ancy Alexander Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ancy Alexander reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upstate Emergency Medicine, Inc
2.8 mi
Emergency Medicine
750 E. ADAMS ST.
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 170 clinicians in this Medicare group
NPI 1275589582 (315) 464-4363

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERYL DUMOND-MARTINEZ MD
Pediatrics
4900 BROAD ROAD, STE 1D SOUTH
SYRACUSE, NY 13215
Onondaga County (315) 464-8224
JULIA SCHMUTZ MD
Family Medicine
4900 BROAD ROAD, STE 3M-NORTH
SYRACUSE, NY 13215
Onondaga County (315) 492-3400
DR. MARISSA M SMITH MD
Pediatrics
4900 BROAD ROAD
SYRACUSE, NY 13215
Onondaga County (315) 492-5437
DR. DANIEL CHARLES THOMAS MD
Surgery (Surgical Oncology)
4900 BROAD ROAD, SUITE 2B, NORTH
SYRACUSE, NY 13215
Onondaga County (315) 492-5036
ANTHONY MICHAEL STIRPE PA
Physician Assistant
4900 BROAD ROAD
SYRACUSE, NY 13215
Onondaga County (315) 492-5535
KRISTINA M GO M.D.
Surgery
4900 BROAD ROAD, STE 2B NORTH
SYRACUSE, NY 13215
Onondaga County (315) 492-5036
DR. SCOTT V WIENER MD
Urology
4900 BROAD ROAD, SUITE 4V
SYRACUSE, NY 13215
Onondaga County (315) 492-3700
ERIN E. TOMENY NP
Nurse Practitioner (Family)
4900 BROAD ROAD, RM 1139
SYRACUSE, NY 13215
Onondaga County (315) 492-5555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ancy Alexander's NPI number?

The NPI number for Ancy Alexander is 1093395923. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Ancy Alexander located?

Ancy Alexander practices at 4900 Broad Road 1st Fl, Syracuse, NY 13215. The listed phone number is (315) 492-5437.

What is Ancy Alexander's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Ancy Alexander enrolled in Medicare?

Yes. Ancy Alexander is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ancy Alexander's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ancy Alexander reassigns Medicare benefits to Upstate Emergency Medicine, Inc (Syracuse, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ancy Alexander's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ancy Alexander was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.