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CHRISTOPHER NEIL FORTNER MD, PHD
NPI 1104084078
Pediatrics - Pediatric Pulmonology in Syracuse, NY

Active since May 28, 2008PECOS Enrolled
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5450(315) 464-6322 Get Directions Write a Review

NPPES record last updated: August 31, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Christopher Neil Fortner Md, Phd NPPES

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

CHRISTOPHER NEIL FORTNER MD, PHD (NPI 1104084078) is an individual pediatric pulmonology provider in Syracuse, New York, licensed in New York (263942) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104084078
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameCHRISTOPHER NEIL FORTNERCredential: MD, PHD
Location Address750 E ADAMS STSyracuse, NY 13210-2342
Mailing Address750 E Adams StSyracuse, NY 13210-2342 · (315) 464-5450 · Fax (315) 464-6322
Phone(315) 464-5450
Fax(315) 464-6322
Sole ProprietorNo
Enumeration DateMay 28, 2008
Last NPPES UpdateAugust 31, 2012
✔ NPI 1104084078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Licenses✔ Licensed in NY · 263942✔ Licensed in NC · 110562
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
750 E ADAMS ST, Syracuse, NY 13210
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Other Identifiers 2

Medicaid03437170NY
Medicare PINJ400067997NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christopher Neil Fortner Md, Phd 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 Reassignments

3

Medicare enrollment records show Christopher Fortner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Service Group
0.1 mi
Pediatrics
750 E. ADAMS ST., 5TH FLOOR
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group
NPI 1770539066 (315) 464-5450
University Of Rochester
75 mi
General Practice
625 ELMWOOD AVE, BOX 683
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1982787537 (585) 275-5022
Pediatric Allergy Of Pulmonary
75 mi
Pediatric Pulmonology
601 ELMWOOD AVE, BOX 635
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 61 clinicians in this Medicare group
NPI 1013952688 (585) 275-7787

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 20

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

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

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 Christopher Fortner's NPI number?

The NPI number for Christopher Fortner is 1104084078. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is Christopher Fortner located?

Christopher Fortner practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-5450.

What is Christopher Fortner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Christopher Fortner enrolled in Medicare?

Yes. Christopher Fortner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Christopher Fortner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Fortner reassigns Medicare benefits to 3 organizations: Pediatric Service Group (Syracuse, NY), University Of Rochester (Rochester, NY) and Pediatric Allergy Of Pulmonary (Rochester, NY). Each 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 Christopher Fortner'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 Christopher Fortner was last updated on August 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.