MR. MARK J COLANERI P.A.
NPI 1104883842
Physician Assistant - Surgical in Syracuse, NY

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
4900 BROAD RD, SYRACUSE, NY 13215(315) 251-3100(315) 449-9923 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark J Colaneri P.a. NPPES

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

MR. MARK J COLANERI P.A. (NPI 1104883842) is an individual surgical provider in Syracuse, New York, licensed in New York (008743) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1104883842
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MARK J COLANERICredential: P.A.
Location Address4900 BROAD RDSyracuse, NY 13215-2265
Mailing Address5719 Widewaters PkwySyracuse, NY 13214-1880 · (315) 251-3100 · Fax (315) 449-9923
Fax(315) 449-9923
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104883842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 008743
4900 BROAD RD, Syracuse, NY 13215

Other Identifiers 1

Medicare UPINP72514

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark J Colaneri P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971522442
PECOS Enrollment IDI20051114000804
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
24 services24 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

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.

Occupational Therapist
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Practitioner (Family)
4900 BROAD RD, SUITE 4K
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Psychiatry & Neurology (Neurology)
4900 BROAD RD, CGH POB SUITE 2F
SYRACUSE, NY 13215
Physician Assistant
4900 BROAD RD
SYRACUSE, NY 13215

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 Mark Colaneri's NPI number?

The NPI number for Mark Colaneri is 1104883842. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Mark Colaneri located?

Mark Colaneri practices at 4900 Broad Rd, Syracuse, NY 13215. The listed phone number is (315) 251-3100.

What is Mark Colaneri's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mark Colaneri enrolled in Medicare?

Yes. Mark Colaneri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mark Colaneri affiliated with any hospitals?

According to CMS data, Mark Colaneri is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Mark Colaneri was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.