FAMILYCARE MEDICAL GROUP, PC
NPI 1447212063
Family Medicine in Syracuse, NY

Active since April 06, 2006
1001 W FAYETTE ST, STE 400, SYRACUSE, NY 13204(315) 472-1488(315) 883-5405 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Familycare Medical Group, Pc NPPES

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

FAMILYCARE MEDICAL GROUP, PC (NPI 1447212063) is a healthcare organization registered as a family medicine in Syracuse, New York and active in the NPI registry since April 2006. The organization lists Mitchell V Brodey, President, as its authorized official.

NPPES Registry Identity

NPI1447212063
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILYCARE MEDICAL GROUP, PC
Location Address1001 W FAYETTE ST, STE 400Syracuse, NY 13204-2859
Mailing Address1001 W Fayette St, Ste 400Syracuse, NY 13204-2859 · (315) 472-1488 · Fax (315) 883-5405
Fax(315) 883-5405
Organization SubpartNo
Authorized OfficialMitchell V BrodeyPresident · (315) 492-5784
Enumeration DateApril 6, 2006
Last NPPES UpdateMarch 11, 2013
✔ NPI 1447212063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1001 W FAYETTE ST, Syracuse, NY 13204

Other Identifiers 3

Medicare PINCA5502NY
Medicare PIN56100ANY
Medicaid03459574NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Familycare Medical Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20111005000074Non-DME Part B · Independent Clinical LaboratoryDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

91

Medicare enrollment records show 91 clinicians reassign Medicare billing to Familycare Medical Group, PC, which bills Medicare for the services they deliver. Of these, 64 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Family Practice36
Nurse Practitioner30
Internal Medicine12
Endocrinology2
Obstetrics/Gynecology2
Ophthalmology2
Critical Care (Intensivists)1
Emergency Medicine1
5 other specialties5

Nearest to this location (20)

See all 91
Obstetrics/Gynecology
NPI 1770562761
1101 ERIE BLVD E STE 210
Syracuse, NY 13210
(315) 471-4911
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1578056933
750 E ADAMS ST
Syracuse, NY 13210
(315) 464-4570
✔ PECOS0.5 mi
Internal Medicine
NPI 1588985782
750 E ADAMS ST
Syracuse, NY 13210
(315) 464-5774
✔ PECOS0.5 mi
Internal Medicine
NPI 1659726362
750 E ADAMS ST
Syracuse, NY 13210
(315) 464-6527
✔ PECOS0.5 mi
Registered Dietitian or Nutrition Professional
NPI 1649259177
739 IRVING AVE SUITE 500
Syracuse, NY 13210
(315) 470-7409
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1396304507
301 PROSPECT AVENUE
Syracuse, NY 13203
(315) 448-5111
✔ PECOS✔ Accepts Medicare0.9 mi
Internal Medicine
NPI 1104021278
DEPARTMENT OF MEDICINE MEDICAL SERVICE GROUP 750 EAST ADAMS ST., 3RD FLR
Syracuse, NY 13210
(315) 464-5240
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1437984291
4631 ONONDAGA BLVD
Syracuse, NY 13219
(315) 487-4844
✔ PECOS✔ Accepts Medicare3.1 mi
Family Practice
NPI 1427285576
4631 ONONDAGA BLVD
Syracuse, NY 13219
(315) 487-4844
✔ PECOS✔ Accepts Medicare3.1 mi
Family Practice
NPI 1275510026
4631 ONONDAGA BLVD
Syracuse, NY 13219
(315) 487-4844
✔ PECOS✔ Accepts Medicare3.1 mi
Endocrinology
NPI 1992784995
191 INTREPID LN
Syracuse, NY 13205
(315) 469-3373
✔ PECOS3.2 mi
Internal Medicine
NPI 1174501498
4900 BROAD RD POB STE 4K
Syracuse, NY 13215
(315) 492-5784
✔ PECOS✔ Accepts Medicare3.2 mi
Ophthalmology
NPI 1225200900
4900 BROAD RD SUITE 3P
Syracuse, NY 13215
(315) 492-5910
✔ PECOS✔ Accepts Medicare3.2 mi
Ophthalmology
NPI 1982609780
4900 BROAD RD STE 3P
Syracuse, NY 13215
(315) 492-5910
✔ PECOS✔ Accepts Medicare3.2 mi
Internal Medicine
NPI 1760944771
4900 BROAD RD
Syracuse, NY 13215
(315) 492-5784
✔ PECOS✔ Accepts Medicare3.2 mi
Family Practice
NPI 1902245384
182 INTREPID LN
Syracuse, NY 13205
(315) 218-7020
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1982330122
182 INTREPID LN
Syracuse, NY 13205
(315) 218-7020
✔ PECOS✔ Accepts Medicare3.2 mi
Optometry
NPI 1043291222
1304 BUCKLEY RD STE 205
Syracuse, NY 13212
(315) 458-2020
✔ PECOS✔ Accepts Medicare3.5 mi
Endocrinology
NPI 1023462538
4488 ONONDAGA BLVD
Syracuse, NY 13219
(315) 492-5784
✔ PECOS✔ Accepts Medicare3.6 mi
Critical Care (Intensivists)
NPI 1437360690
6319 FLY RD STE 2A
East Syracuse, NY 13057
(315) 937-5797
✔ PECOS✔ Accepts Medicare4.4 mi
See all 91 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 Familycare Medical Group, PC's NPI number?

The NPI number for Familycare Medical Group, PC is 1447212063. It was assigned to this organization in the NPPES registry on April 6, 2006.

Where is Familycare Medical Group, PC located?

Familycare Medical Group, PC is located at 1001 W Fayette St Ste 400, Syracuse, NY 13204. The listed phone number is (315) 472-1488.

What is Familycare Medical Group, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Familycare Medical Group, PC enrolled in Medicare?

Yes. Familycare Medical Group, PC is registered in the Medicare PECOS enrollment system.

When is Familycare Medical Group, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Independent Clinical Laboratory) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Familycare Medical Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 91 clinicians in 13 Medicare specialties reassign their Medicare billing to Familycare Medical Group, PC. 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 Family Practice (36), Nurse Practitioner (30) and Internal Medicine (12). Of these, 64 practice 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 Familycare Medical Group, PC was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.