NORTH AREA PEDIATRICS, PC
NPI 1609949049
Pediatrics in Liverpool, NY

Active since November 15, 2006
4811 BUCKLEY ROAD, LIVERPOOL, NY 13088(315) 457-9966(315) 457-9854 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About North Area Pediatrics, Pc NPPES

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

NORTH AREA PEDIATRICS, PC (NPI 1609949049) is a healthcare organization registered as a pediatrics in Liverpool, New York and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Camillus and lists Robert A Dracker, Medical Doctor Owner, as its authorized official.

NPPES Registry Identity

NPI1609949049
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORTH AREA PEDIATRICS, PC
Location Address4811 BUCKLEY ROADLiverpool, NY 13088
Mailing Address4811 Buckley RoadLiverpool, NY 13088 · (315) 457-9966 · Fax (315) 457-9854
Fax(315) 457-9854
Organization SubpartNo
Authorized OfficialRobert A DrackerMedical Doctor Owner · (315) 457-9966
Enumeration DateNovember 15, 2006
Last NPPES UpdateDecember 3, 2018
✔ NPI 1609949049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 1551771
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4811 BUCKLEY ROAD, Liverpool, NY 13088

Secondary Practice Location 1

Location 15700 W Genesee StCamillus, NY 13031-3200 · Phone (315) 488-2868

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)

North Area Pediatrics, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to North Area Pediatrics, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Pediatric Medicine
NPI 1538129655
4811 BUCKLEY RD
Liverpool, NY 13088
(315) 457-9966
✔ PECOSSame address
Pediatric Medicine
NPI 1528175361
4811 BUCKLEY RD
Liverpool, NY 13088
(315) 457-3091
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730912510
4811 BUCKLEY RD
Liverpool, NY 13088
(315) 457-9966
✔ PECOSSame address
Nurse Practitioner
NPI 1053972034
792 N MAIN ST STE 100B
North Syracuse, NY 13212
(315) 458-4623
✔ PECOS2.8 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0165718

North Area Pediatrics PC Dba Summerwood Pediatrics · Liverpool, NY
Expired · Sep 30, 2026
CLIA Number33D0165718
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Robert A. Dracker
Laboratory Phone(315) 457-9966
Laboratory LocationNorth Area Pediatrics PC Dba Summerwood Pediatrics4811 Buckley Rd, Liverpool, NY 13088
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 North Area Pediatrics, PC's NPI number?

The NPI number for North Area Pediatrics, PC is 1609949049. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is North Area Pediatrics, PC located?

North Area Pediatrics, PC is located at 4811 Buckley Road, Liverpool, NY 13088. The listed phone number is (315) 457-9966.

What is North Area Pediatrics, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is North Area Pediatrics, PC enrolled in Medicare?

Yes. North Area Pediatrics, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Area Pediatrics, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to North Area Pediatrics, PC, in Nurse Practitioner and Pediatric Medicine. 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. Of these, 3 practice at this address and 4 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 North Area Pediatrics, PC was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.