GIANNA OF SYRACUSE MEDICAL PLLC
NPI 1104451848
Family Medicine in Rochester, NY
About Gianna Of Syracuse Medical Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GIANNA OF SYRACUSE MEDICAL PLLC (NPI 1104451848), doing business as Restore Health And Wellness, is a healthcare organization registered as a family medicine in Rochester, New York and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through February 19, 2028, maintains a secondary practice location in Syracuse, and lists Angela Kristan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gianna Of Syracuse Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Gianna Of Syracuse Medical PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2338935
Gianna Of Syracuse Medical PLLC · Rochester, NYFrequently 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 Gianna Of Syracuse Medical PLLC's NPI number?
The NPI number for Gianna Of Syracuse Medical PLLC is 1104451848. It was assigned to this organization in the NPPES registry on March 3, 2020. The provider is doing business as Restore Health and Wellness.
Where is Gianna Of Syracuse Medical PLLC located?
Gianna Of Syracuse Medical PLLC is located at 1880 E Ridge Rd Ste 8, Rochester, NY 14622. The listed phone number is (585) 310-8787.
What is Gianna Of Syracuse Medical PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gianna Of Syracuse Medical PLLC enrolled in Medicare?
Yes. Gianna Of Syracuse Medical PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gianna Of Syracuse Medical PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Gianna Of Syracuse Medical PLLC, in Family Practice and Obstetrics/Gynecology. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gianna Of Syracuse Medical PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2338935) is associated with this NPI, valid through February 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Gianna Of Syracuse Medical PLLC was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Gianna Of Syracuse Medical Pllc · NPI 1104451848
Family Medicine organization in Rochester, New York. Organization record, active in the CMS NPPES registry since March 3, 2020.
## Identity
- **NPI:** 1104451848 (Entity type: Organization)
- **Enumerated:** March 3, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Restore Health and Wellness (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Angela Kristan, OWNER
## Practice location
- **Address:** 1880 E RIDGE RD STE 8, Rochester, NY 14622-2450
- **Phone:** (585) 310-8787
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Obstetrics/Gynecology (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2025
- **Other identifiers:** Medicaid 05240455 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104451848) · Data from the CMS NPPES public registry.