JONATHAN VAN BUREN RIDDELL MD
NPI 1922391077
Urology - Pediatric Urology in Syracuse, NY

Q: What is Jonathan Riddell's NPI number?

The NPI number for Jonathan Riddell is 1922391077. It was assigned to this individual provider in the NPPES registry on May 24, 2011.

Q: What is Jonathan Riddell's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Riddell was last updated on July 19, 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.

Active since May 24, 2011PECOS EnrolledAccepts Medicare Assignment

750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-6106(315) 464-6107 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jonathan Van Buren Riddell Md NPPES

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

JONATHAN VAN BUREN RIDDELL MD (NPI 1922391077) is an individual pediatric urology provider in Syracuse, New York, licensed in New York (270264) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Adirondack Medical Center - Saranac Lake, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1922391077

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameJONATHAN VAN BUREN RIDDELLCredential: MD

Location Address750 E ADAMS STSyracuse, NY 13210-2342

Mailing Address750 E Adams StSyracuse, NY 13210-2342 · (315) 464-6106 · Fax (315) 464-6107

Phone(315) 464-6106

Fax(315) 464-6107

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateMay 24, 2011

Last NPPES UpdateJuly 19, 2013

✔ NPI 1922391077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in NY · 270264

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X · License 270264 (NY)

750 E ADAMS ST, Syracuse, NY 13210

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Other Identifiers 2

Medicare PINJ400047390NY

Medicaid03340452NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan, Select Health.Insurance ›

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

Jonathan Van Buren Riddell Md 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 ID4789861204

PECOS Enrollment IDI20110610000171

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

Medicare enrollment records show Jonathan Riddell reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upstate Urology, Inc.

0.1 mi

Urology

750 E ADAMS ST
Syracuse, NY 13210

Reassigned Medicare billing, New York enrollment
41 clinicians in this Medicare group

NPI 1003062043 (315) 464-6106

United Health Services Hospitals, Inc.

65 mi

Multi-Specialty

33-57 HARRISON ST.
Johnson City, NY 13790

Reassigned Medicare billing, New York enrollment
854 clinicians in this Medicare group

NPI 1962463851 (607) 762-3027

Adirondack Medical Center

135 mi

General Practice

2233 STATE ROUTE 86
Saranac Lake, NY 12983

Reassigned Medicare billing, New York enrollment
76 clinicians in this Medicare group

NPI 1245446533 (518) 891-4141

Champlain Valley Physicians Hospital Medical Center

176 mi

General Acute Care Hospital

75 BEEKMAN ST
Plattsburgh, NY 12901

Reassigned Medicare billing, New York enrollment
675 clinicians in this Medicare group

NPI 1033270699 (518) 561-2000

St Lukes Clinic-Treasure Valley LLC

1,982 mi

Family Medicine

840 N 4TH E
Mountain Home, ID 83647

Reassigned Medicare billing, Idaho enrollment
1,312 clinicians in this Medicare group

NPI 1417297821 (208) 587-1850

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

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

302 services228 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

201 services165 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

154 services136 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

41 services29 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

34 services31 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

31 services22 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

27 services27 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

26 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

19 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services16 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

17 services16 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

13 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adirondack Medical Center - Saranac Lake

Acute Care Hospitals · Saranac Lake, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330079

Location2233 State Route 86, PO Box 471Saranac Lake, NY 12983 · Franklin County

Emergency services Birthing friendly

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330197

Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County

Emergency services Birthing friendly

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330250

Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County

Emergency services Birthing friendly

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331302

Location75 Park StreetElizabethtown, NY 12932 · Essex County

Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331321

Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County

Emergency services

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