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Dr. John S Andrake , MD

Pediatrics β€’ Syracuse, NY

Active NPI 1700806387 Individual Practitioner Male Practitioner
Practice location in NPPES

725 East Adams St, 4th Fl
Syracuse, NY 132102576

Call 3154645831 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

725 East Adams St
4th Fl

Syracuse, NY 132102576

Telephone 3154645831
Fax 3154642030

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Andrake has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Andrake as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Syracuse and New York

87 active clinicians are listed under Pediatrics with a practice address in Syracuse, NY (5,805 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Syracuse

0% of these 87 clinicians have the CMS telehealth indicator.

3.4% of these 87 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-25
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES NY 173336

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

License # reported to NPPES NY 173336

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
01181653 (NY)
Medicaid ID
56651C (NY)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20100316000662

Enrollment State Jurisdiction

NY

PECOS Control ID

4789719782

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Cynthia Davis , FNP-C

Nurse Practitioner - Family

NPI 1164918546

Family Nurse Practitioner (Certified)

Dr. Jessica Mayer , MD

Internal Medicine

NPI 1528453982

Doctor of Medicine (M.D.)

Dr. Andrea Shaw , MD

Internal Medicine

NPI 1912141904

Doctor of Medicine (M.D.)

NPI 1760410864

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location May 25, 2023

Registered at 725 EAST ADAMS ST, 4TH FL, SYRACUSE, NY 132102576 (Tel: 3154645831)

πŸ“
Updated Business Mailing Address May 25, 2023

Registered at 725 EAST ADAMS ST, 4TH FL, SYRACUSE, NY 132102576 (Tel: 3154645831)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2023

Hospitalist (license number reported to NPPES: NY 173336)

βœ…
NPI Profile Active August 27, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 27, 2013

Registered at 90 PRESIDENTIAL PLZ, 3RD FLOOR, SYRACUSE, NY 132022240 (Tel: 3154644357)

πŸ“
Business Mailing Address (Initial Record) August 27, 2013

Registered at 90 PRESIDENTIAL PLZ, 3RD FLOOR, SYRACUSE, NY 132022240 (Tel: 3154644357)

πŸ‘€
Provider Name / Credentials (Initial Record) August 27, 2013

Recorded as JOHN ANDRAKE, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2013

Pediatrics (license number reported to NPPES: NY 173336)

🟒
Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700806387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: May 25, 2023
Sole Proprietor: No

Other Pediatrics Specialists in Syracuse

Healthcare providers in Syracuse

Mailing Address

725 East Adams St, 4th Fl

Syracuse, NY 132102576

Phone: 3154645831

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.