ALEX NANCHANATT MD
NPI 1164050100
Pediatrics - Pediatric Hematology-Oncology in Syracuse, NY

Q: What is Alex Nanchanatt's NPI number?

The NPI number for Alex Nanchanatt is 1164050100. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Alex Nanchanatt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Alex Nanchanatt was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 27, 2020PECOS Enrolled

750 EAST ADAMS ST, SYRACUSE, NY 13210(315) 464-5294(315) 464-6330 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2026, May 22, 2025, Mar 27, 2020 (3 updates tracked since 2020).

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About Alex Nanchanatt Md NPPES

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

ALEX NANCHANATT MD (NPI 1164050100) is an individual pediatric hematology-oncology provider in Syracuse, New York, licensed in New York (321842) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164050100

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameALEX NANCHANATTCredential: MD

Location Address750 EAST ADAMS STSyracuse, NY 13210-2306

Mailing Address750 East Adams StSyracuse, NY 13210-2306 · (315) 464-5294 · Fax (315) 464-6330

Phone(315) 464-5294

Fax(315) 464-6330

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 27, 2020

Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1164050100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in NY · 321842

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

750 EAST ADAMS ST, Syracuse, NY 13210

Open in Google Maps ↗

Other Identifiers 1

Medicaid07684980NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alex Nanchanatt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244797462

PECOS Enrollment IDI20260807001663

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 Alex Nanchanatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

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

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.

NICHOLAS ZACCOR MD,PHD

Otolaryngology