ATUL MAINI M.D.
NPI 1396700985
Surgery in Liverpool, NY

Q: What is Atul Maini's NPI number?

The NPI number for Atul Maini is 1396700985. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Q: What is Atul Maini's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Atul Maini was last updated on January 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment

5100 W TAFT RD STE 2E, UPSTATE SURGICAL GROUP P.C., LIVERPOOL, NY 13088(315) 634-3399(315) 634-3481 Get Directions Write a Review

NPPES record last updated: January 10, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Atul Maini M.d. NPPES

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

ATUL MAINI M.D. (NPI 1396700985) is an individual surgery provider in Liverpool, New York, licensed in Massachusetts (239516) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1396700985

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameATUL MAINICredential: M.D.

Location Address5100 W TAFT RD STE 2E, UPSTATE SURGICAL GROUP P.C.Liverpool, NY 13088-4841

Mailing Address5100 W Taft Rd Ste 2e, Upstate Surgical Group P.c.Liverpool, NY 13088-4841 · (315) 634-3999 · Fax (315) 634-3481

Phone(315) 634-3399

Fax(315) 634-3481

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateApril 18, 2006

Last NPPES UpdateJanuary 10, 2011

✔ NPI 1396700985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MA · 239516

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.

Also ListedSpecialistTaxonomy 174400000X · License 002108 (NY)

5100 W TAFT RD STE 2E, Liverpool, NY 13088

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Other Identifiers 5

Medicare UPINI09690NY

Medicare ID-Type Unspecified53145ANY

Other239516MA · Ma Borm License

Medicaid02586827NY

OtherM0000000MA · Medicare (pending)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Atul Maini M.d. 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 ID3577533942

PECOS Enrollment IDI20040731000171

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 Reassignments

Medicare enrollment records show Atul Maini reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Josephs Medical PC

Same address

Family Medicine

5100 W TAFT RD
Liverpool, NY 13088

Reassigned Medicare billing, New York enrollment
625 clinicians in this Medicare group

NPI 1942501747 (315) 452-2828

St Josephs Hospital Health Center

4.4 mi

General Acute Care Hospital

301 PROSPECT AVE, ADMINISTRATION
Syracuse, NY 13203

Reassigned Medicare billing, New York enrollment
369 clinicians in this Medicare group

NPI 1508815333 (315) 448-5880

Syracuse General Surgery, PC

8.3 mi

Surgery

182 INTREPID LN
Syracuse, NY 13205

Reassigned Medicare billing, New York enrollment
3 clinicians in this Medicare group

NPI 1285388322 (315) 391-9019

St. Joseph's Physician Health, P.C.

129 mi

Anesthesiology

2215 BURDETT AVE
Troy, NY 12180

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: St Joseph's Physician Health PC
304 clinicians in this Medicare group

NPI 1154376770 (518) 271-3300

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

Areas of Expertise CMS Part B claims 7

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 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.

89 services89 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

45 services45 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.

37 services33 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

20 services18 patients

Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope 43282

This procedure fixes a hernia, a bulge or tear, in the muscle where the esophagus meets the stomach. Using an endoscope, a thin tube with a camera, a mesh is implanted to strengthen the area and prevent future hernias.

19 services19 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

17 services17 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 13088 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.

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 Atul Maini's NPI number?

The NPI number for Atul Maini is 1396700985. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Atul Maini located?

Atul Maini practices at 5100 W Taft Rd Ste 2E Upstate Surgical Group P.C., Liverpool, NY 13088. The listed phone number is (315) 634-3399.

What is Atul Maini's specialty?

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

Is Atul Maini enrolled in Medicare?

Yes. Atul Maini 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.

Which organizations bill Medicare for Atul Maini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Atul Maini reassigns Medicare benefits to 4 organizations: St Josephs Medical PC (Liverpool, NY), St Josephs Hospital Health Center (Syracuse, NY), Syracuse General Surgery, PC (Syracuse, NY) and St. Joseph's Physician Health, P.C. (Troy, NY). Each 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 Atul Maini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Atul Maini accept?

Health plans from Taro Health list Atul Maini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Atul Maini affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Atul Maini was last updated on January 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.