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DR. SIVA V DANTU MD
NPI 1174978787
Surgery in East Syracuse, NY

Active since May 02, 2016PECOS EnrolledAccepts Medicare Assignment
80.76/100
CMS Quality Rating
GLACIER CREEK OFFICE PARK-BLDG II, 6711 TOWPATH RD., SUITE 175, EAST SYRACUSE, NY 13057(315) 458-2211(315) 452-9025 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2023, Jul 6, 2021, Jul 2, 2016 (3 updates tracked since 2016).

About Dr. Siva V Dantu Md NPPES

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

DR. SIVA V DANTU MD (NPI 1174978787) is an individual surgery provider in East Syracuse, New York, licensed in Florida (148940) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174978787
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SIVA V DANTUCredential: MD
Location AddressGLACIER CREEK OFFICE PARK-BLDG II, 6711 TOWPATH RD., SUITE 175East Syracuse, NY 13057-9510
Mailing AddressGlacier Creek Office Park-bldg Ii, 6711 Towpath Rd., Suite 175East Syracuse, NY 13057-9510 · (315) 458-2211 · Fax (315) 452-9025
Phone(315) 458-2211
Fax(315) 452-9025
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 2, 2016
Last NPPES UpdateNovember 20, 20233 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
✔ NPI 1174978787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · 148940
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
GLACIER CREEK OFFICE PARK-BLDG II, East Syracuse, NY 13057
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Siva V Dantu Md 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 ID840536603
PECOS Enrollment IDI20230822002292
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 8

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
46 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
32 services32 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
27 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.58
Improvement Activities40
Cost72.41

Other Providers at the Same Location NPPES 3

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

JAMES R BERRY MD
Colon & Rectal Surgery
GLACIER CREEK OFFICE PARK-BLDG II, 6711 TOWPATH RD., SUITE 175
EAST SYRACUSE, NY 13057
Onondaga County (315) 458-2211
ALESHIA M. ROOKE PA
Physician Assistant
GLACIER CREEK OFFICE PARK-BLDG II, 6711 TOWPATH RD., SUITE 175
EAST SYRACUSE, NY 13057
Onondaga County (315) 458-2211
DAVID A NESBITT MD
Colon & Rectal Surgery
GLACIER CREEK OFFICE PARK-BLDG II, 6711 TOWPATH RD., SUITE 175
EAST SYRACUSE, NY 13057
Onondaga County (315) 458-2211

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 Siva Dantu's NPI number?

The NPI number for Siva Dantu is 1174978787. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Siva Dantu located?

Siva Dantu practices at Glacier Creek Office Park-Bldg II 6711 Towpath Rd., Suite 175, East Syracuse, NY 13057. The listed phone number is (315) 458-2211.

What is Siva Dantu's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Siva Dantu enrolled in Medicare?

Yes. Siva Dantu 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 Siva Dantu affiliated with any hospitals?

According to CMS data, Siva Dantu is affiliated with St Joseph's Hospital Health Center and Crouse Hospital.

When was this NPI record last updated?

The NPPES record for Siva Dantu was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.