IVAN Y OLESH
NPI 1215565668
Student in an Organized Health Care Education/Training Program in Camillus, NY

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
3399 WARNERS RD, CAMILLUS, NY 13031(315) 460-5872 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 11, 2025, Mar 31, 2020 (2 updates tracked since 2020).

About Ivan Y Olesh NPPES

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

IVAN Y OLESH (NPI 1215565668) is an individual student in an organized health care education/training program in Camillus, New York and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215565668
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIVAN Y OLESH
Location Address3399 WARNERS RDCamillus, NY 13031-9649
Mailing Address3399 Warners RdCamillus, NY 13031-9649 · (315) 460-5872
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1215565668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 025978 (NY)
3399 WARNERS RD, Camillus, NY 13031

Secondary Practice Locations 2

Location 14417 Vestal Pkwy EVestal, NY 13850 · Phone (607) 763-6580 · Fax (607) 763-6782
Location 230 Harrison St, Ste 250Johnson City, NY 13790 · Phone (607) 763-6580 · Fax (607) 763-6782

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

Ivan Y Olesh 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 ID5890108955
PECOS Enrollment IDI20210108001768
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.

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

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 Ivan Olesh's NPI number?

The NPI number for Ivan Olesh is 1215565668. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Ivan Olesh located?

Ivan Olesh practices at 3399 Warners Rd, Camillus, NY 13031. The listed phone number is (315) 460-5872.

What is Ivan Olesh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ivan Olesh enrolled in Medicare?

Yes. Ivan Olesh 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 Ivan Olesh affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Ivan Olesh was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.