JOHN B FORTUNE MD
NPI 1861443673
Surgery - Surgical Critical Care in Syracuse, NY

Active since May 15, 2006PECOS Enrolled
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-1800 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John B Fortune Md NPPES

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

JOHN B FORTUNE MD (NPI 1861443673) is an individual surgical critical care provider in Syracuse, New York, licensed in New York (139794) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861443673
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameJOHN B FORTUNECredential: MD
Location Address750 E ADAMS STSyracuse, NY 13210-2306
Mailing Address750 E Adams StSyracuse, NY 13210-2306
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateJanuary 23, 2009
NPI 1861443673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in NY · 139794
Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License 139794 (NY)
750 E ADAMS ST, Syracuse, NY 13210

Other Identifiers 4

Medicare UPINC35648
Medicare PINCC4406NY
Medicare PINRA2461NY
Medicaid00849683NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John B Fortune Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Radiology (Diagnostic Radiology)
750 E ADAMS ST, 3RD FLOOR RADIOLOGY
SYRACUSE, NY 13210
Nuclear Medicine
750 E ADAMS ST, 3RD FLOOR RADIOLOGY
SYRACUSE, NY 13210
Radiology (Diagnostic Radiology)
750 E ADAMS ST, 3RD FLOOR RADIOLOGY
SYRACUSE, NY 13210
Radiology (Diagnostic Radiology)
750 E ADAMS ST, 3RD FLOOR RADIOLOGY
SYRACUSE, NY 13210
Physician Assistant (Medical)
750 E ADAMS ST
SYRACUSE, NY 13210
Internal Medicine
750 E ADAMS ST, PHYSICAL MEDICINE AND REHABILITATION MSG
SYRACUSE, NY 13210
Transplant Surgery
750 E ADAMS ST
SYRACUSE, NY 13210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861443673, enumerated as an "individual" on May 15, 2006.

The provider is located at 750 E ADAMS ST SYRACUSE, NY 13210 and the phone number is (315) 464-1800.

Surgery with taxonomy code 2086S0102X and a focus in Surgical Critical Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.