THRIVE HEALTH IV CLINIC, P.C.
NPI 1144044496
Clinic/Center - Multi-Specialty in North Syracuse, NY

Active since November 13, 2024
3400 VICKERY RD, NORTH SYRACUSE, NY 13212(310) 363-8757(310) 363-8758 Get Directions Write a Review

NPPES record last updated: November 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thrive Health Iv Clinic, P.c. NPPES

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

THRIVE HEALTH IV CLINIC, P.C. (NPI 1144044496) is a healthcare organization registered as a multi-specialty in North Syracuse, New York and active in the NPI registry since November 2024. The organization lists Raymond Douglas, President, as its authorized official.

NPPES Registry Identity

NPI1144044496
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameTHRIVE HEALTH MEDICAL SERVICES PC
Location Address3400 VICKERY RDNorth Syracuse, NY 13212-4526
Mailing Address9675 Brighton Way Ste 410Beverly Hills, CA 90210-5192 · (310) 636-8757 · Fax (310) 363-8758
Fax(310) 363-8758
Organization SubpartYesParent: Thrive Health Iv Clinic, P.c.
Authorized OfficialRaymond DouglasPresident · (310) 363-8757
Enumeration DateNovember 13, 2024
Last NPPES UpdateNovember 16, 2024
NPPES CertifiedNovember 16, 2024
✔ NPI 1144044496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
3400 VICKERY RD, North Syracuse, NY 13212

Other Names 1

Other NameThrive Health Iv Clinic, P.c.

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thrive Health Iv Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Thrive Health IV Clinic, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ophthalmology
NPI 1003107400
3400 VICKERY RD STE A
North Syracuse, NY 13212
(315) 422-3937
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1891951455
3400 VICKERY RD SUITE A
Syracuse, NY 13212
(315) 422-3937
✔ PECOS✔ Accepts MedicareSame address

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

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 Thrive Health Medical Services PC's NPI number?

The NPI number for Thrive Health Medical Services PC is 1144044496. It was assigned to this organization in the NPPES registry on November 13, 2024. The provider is also known as Thrive Health IV Clinic, P.C..

Where is Thrive Health Medical Services PC located?

Thrive Health Medical Services PC is located at 3400 Vickery Rd, North Syracuse, NY 13212. The listed phone number is (310) 363-8757.

What is Thrive Health Medical Services PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Thrive Health Medical Services PC enrolled in Medicare?

Yes. Thrive Health Medical Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thrive Health Medical Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Thrive Health Medical Services PC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Thrive Health Medical Services PC was last updated on November 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.