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ANDREA MARIE DVORAK M.D.
NPI 1811154347
Pediatrics - Pediatric Hematology-Oncology in Syracuse, NY

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5294(315) 464-7238 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrea Marie Dvorak M.d. NPPES

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

ANDREA MARIE DVORAK M.D. (NPI 1811154347) is an individual pediatric hematology-oncology provider in Syracuse, New York, licensed in New York (266140) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1811154347
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameANDREA MARIE DVORAKCredential: M.D.
Location Address750 E ADAMS STSyracuse, NY 13210-2342
Mailing Address750 E Adams StSyracuse, NY 13210-2342 · (315) 464-5294 · Fax (315) 464-7238
Phone(315) 464-5294
Fax(315) 464-7238
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 21, 2008
Last NPPES UpdateAugust 13, 2014
✔ NPI 1811154347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in NY · 266140
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License MT-188524 (PA)
750 E ADAMS ST, Syracuse, NY 13210
Open in Google Maps ↗

Other Identifiers 2

Medicare PINJ400079041NY
Medicaid03485852NY

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

Andrea Marie Dvorak 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 ID3870774482
PECOS Enrollment IDI20120925000703
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

2

Medicare enrollment records show Andrea Dvorak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Service Group
0.1 mi
Pediatrics
750 E. ADAMS ST., 5TH FLOOR
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group
NPI 1770539066 (315) 464-5450
Upstate Emergency Medicine, Inc
0.1 mi
Emergency Medicine
750 E. ADAMS ST.
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 170 clinicians in this Medicare group
NPI 1275589582 (315) 464-4363

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

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier23 claims23 services$18.28 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier23 claims165 services$35.58 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier23 claims1,611 services$1.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

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 Andrea Dvorak's NPI number?

The NPI number for Andrea Dvorak is 1811154347. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Andrea Dvorak located?

Andrea Dvorak practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-5294.

What is Andrea Dvorak's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Andrea Dvorak enrolled in Medicare?

Yes. Andrea Dvorak 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 Andrea Dvorak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Dvorak 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 Andrea Dvorak'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 Andrea Dvorak was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.