UPSTATE EMERGENCY MEDICINE, INC
NPI 1275589582
Emergency Medicine in Syracuse, NY

Active since May 26, 2006
750 E. ADAMS ST., SYRACUSE, NY 13210(315) 464-4363(315) 464-8690 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Upstate Emergency Medicine, Inc NPPES

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

UPSTATE EMERGENCY MEDICINE, INC (NPI 1275589582) is a healthcare organization registered as an emergency medicine in Syracuse, New York and active in the NPI registry since May 2006. The organization lists Gary A. Johnson, Chairman Of Department, as its authorized official.

NPPES Registry Identity

NPI1275589582
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameUPSTATE EMERGENCY MEDICINE, INC
Location Address750 E. ADAMS ST.Syracuse, NY 13210
Mailing Address750 E. Adams St.Syracuse, NY 13210 · (315) 464-4363 · Fax (315) 464-8690
Fax(315) 464-8690
Organization SubpartNo
Authorized OfficialGary A. JohnsonChairman Of Department · (315) 464-4363
Enumeration DateMay 26, 2006
Last NPPES UpdateOctober 22, 2010
✔ NPI 1275589582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
750 E. ADAMS ST., Syracuse, NY 13210

Other Identifiers 2

Medicaid01713831NY
Medicare PIN56229ANY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upstate Emergency Medicine, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

170

Medicare enrollment records show 170 clinicians reassign Medicare billing to Upstate Emergency Medicine, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 133 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Emergency Medicine108
Pediatric Medicine29
Nurse Practitioner17
Undersea and Hyperbaric Medicine6
Medical Toxicology2
Sports Medicine2
Critical Care (Intensivists)1
Hematology/Oncology1
4 other specialties4

Nearest to this location (20)

See all 170
Emergency Medicine
NPI 1306030606
750 E ADAMS ST UPSTATE UNIVERSITY HOSPITAL
Syracuse, NY 13210
(315) 464-4363
✔ PECOSSame address
Emergency Medicine
NPI 1215174347
750 E ADAMS ST PEDIATRIC EMERGENCY MEDICINE JACOBSEN HALL 9TH FLOOR
Syracuse, NY 13210
(315) 464-4363
✔ PECOSSame address
Pediatric Medicine
NPI 1700806387
725 EAST ADAMS ST 4TH FL
Syracuse, NY 13210
(315) 464-5831
✔ PECOS0.1 mi
Emergency Medicine
NPI 1023038692
725 EAST ADAMS ST 4TH FL
Syracuse, NY 13210
(315) 464-5831
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1881730232
725 EAST ADAMS ST 4TH FL
Syracuse, NY 13210
(315) 464-5831
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1750084653
725 EAST ADAMS ST 4TH FL
Syracuse, NY 13210
(315) 492-5437
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1134354525
725 EAST ADAMS ST 4TH FL
Syracuse, NY 13210
(315) 464-5831
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1912141904
725 EAST ADAMS ST. 4TH FL
Syracuse, NY 13210
(315) 464-5831
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1457670911
750 E ADAMS ST
Syracuse, NY 13210
(315) 464-4363
✔ PECOS0.1 mi
Emergency Medicine
NPI 1861124463
750 E ADAMS ST
Syracuse, NY 13210
(315) 464-4363
✔ PECOS0.1 mi
Emergency Medicine
NPI 1508118050
750 EAST ADAMS ST
Syracuse, NY 13210
(315) 464-4363
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1801454434
750 E ADAMS ST
Syracuse, NY 13210
(315) 464-5540
✔ PECOS✔ Accepts Medicare0.1 mi
Sports Medicine
NPI 1346747136
750 EAST ADAMS ST
Syracuse, NY 13210
(315) 464-4363
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1821730144
750 EAST ADAMS ST
Syracuse, NY 13210
(315) 464-4363
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1174030001
750 EAST ADAMS ST
Syracuse, NY 13210
(315) 464-4363
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology/Oncology
NPI 1811154347
750 E ADAMS ST
Syracuse, NY 13210
(315) 464-5294
✔ PECOS✔ Accepts Medicare0.1 mi
Undersea and Hyperbaric Medicine
NPI 1720195407
750 E ADAMS ST
Syracuse, NY 13210
(315) 464-4863
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1720340086
750 EAST ADAMS ST
Syracuse, NY 13210
(315) 464-5450
✔ PECOS0.1 mi
Critical Care (Intensivists)
NPI 1477971497
750 EAST ADAMS ST
Syracuse, NY 13210
(315) 464-5450
✔ PECOS0.1 mi
Pulmonary Disease
NPI 1538711155
475 IRVING AVE STE 090
Syracuse, NY 13210
(315) 464-6323
✔ PECOS0.3 mi
See all 170 clinicians

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 Upstate Emergency Medicine, Inc's NPI number?

The NPI number for Upstate Emergency Medicine, Inc is 1275589582. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Upstate Emergency Medicine, Inc located?

Upstate Emergency Medicine, Inc is located at 750 E. Adams St., Syracuse, NY 13210. The listed phone number is (315) 464-4363.

What is Upstate Emergency Medicine, Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Upstate Emergency Medicine, Inc enrolled in Medicare?

Yes. Upstate Emergency Medicine, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upstate Emergency Medicine, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 170 clinicians in 12 Medicare specialties reassign their Medicare billing to Upstate Emergency Medicine, Inc. 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. The largest specialties are Emergency Medicine (108), Pediatric Medicine (29) and Nurse Practitioner (17). Of these, 2 practice at this address and 133 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Upstate Emergency Medicine, Inc was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.