JOHN S ANDRAKE MD
NPI 1700806387
Pediatrics in Syracuse, NY
About John S Andrake Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN S ANDRAKE MD (NPI 1700806387) is an individual pediatrics provider in Syracuse, New York, licensed in New York (173336) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John S Andrake Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show John Andrake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 131 clinicians in this Medicare group
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 170 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Andrake's NPI number?
The NPI number for John Andrake is 1700806387. It was assigned to this individual provider in the NPPES registry on July 19, 2006.
Where is John Andrake located?
John Andrake practices at 725 East Adams St 4th Fl, Syracuse, NY 13210. The listed phone number is (315) 464-5831.
What is John Andrake's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is John Andrake enrolled in Medicare?
Yes. John Andrake is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Andrake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Andrake reassigns Medicare benefits to 2 organizations: Pediatric Service Group (Syracuse, NY) and Upstate Emergency Medicine, Inc (Syracuse, 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 John Andrake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Andrake was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# John S Andrake, MD · NPI 1700806387
Pediatrics physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1700806387 (Entity type: Individual)
- **Enumerated:** July 19, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 173336 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 EAST ADAMS ST, 4TH FL, Syracuse, NY 13210-2576
- **Phone:** (315) 464-5831 · **Fax:** (315) 464-2030
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pediatric Service Group (NPI 1770539066, Syracuse, NY); Upstate Emergency Medicine, Inc (NPI 1275589582, Syracuse, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 25, 2023
- **Other identifiers:** Medicaid 01181653 (NY); Medicaid 56651C (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1700806387) · Data from the CMS NPPES public registry.