Eduardo Bonilla-trejos
DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN


Address: 90 Presidential Plz, C, Syracuse, NY 13202-2240
Phone: 3154645788

Eduardo Bonilla-trejos (NPI# 1972709004, PAC ID# 3971811837) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1972709004
PAC ID by PECOS 3971811837
Professional Enrollment ID I20150928000305
Full Name Eduardo Bonilla-trejos
Organization Legal Name DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
Address 90 Presidential Plz
C
Syracuse
NY 13202-2240
Phone Number 3154645788
Gender M
Graduation Year 2000
Primary Specialty RHEUMATOLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 3274445796
Number of Group Practice Members 193
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330241 UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER
330175 CORTLAND REGIONAL MEDICAL CENTER, INC

Other Locations

Address Phone Organization
90 Presidential Plz, C, Syracuse, NY 13202-2240 3154645788 DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 82%

Organization Information

Organization Legal Name DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
Physicians 171

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Name Specialty Organization Address
Yanping Kong Endocrinology Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 3229 E Genesee St, Syracuse, NY 13214-2016
Pamela W Salisbury Nurse Practitioner Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 603 Seneca St, Suite 2, Oneida, NY 13421-2653
Debanik Chaudhuri Cardiovascular Disease (cardiology) Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 138 E Genesee St, Suite 1, Baldwinsville, NY 13027-2720
John E Leggat Nephrology Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 21 Nelson St, Auburn, NY 13021-2601
Christopher Nardone Cardiovascular Disease (cardiology) Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 510 Towne Dr, Fayetteville, NY 13066-1331
Frances I Swiecki Nurse Practitioner Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 750 E Adams St, Syracuse, NY 13210-2306
William Difilippo Nephrology Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 90 Presidential Plz, 2nd, Syracuse, NY 13202-2240
Jonathan Conlon Physician Assistant Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 750 E Adams St, Syracuse, NY 13210-2306
Christine Heagle- Bahn Nurse Practitioner Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 550 Harrison St, Suite 200, Syracuse, NY 13202-3064
Rahul Seth Hematology/oncology Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 750 E Adams St, Syracuse, NY 13210-2306

Office Location

Street Address 90 PRESIDENTIAL PLZ
C
City SYRACUSE
State NY
Zip 13202-2240

Physicians in the same location

Name Specialty Organization Address
Janice M Agen Nurse Practitioner University Ob/gyn Associates, Inc. 90 Presidential Plz, Fl 3, Syracuse, NY 13202-2240
Alida A De Jong Nurse Practitioner Upstate Family and Preventive Medicine Inc 90 Presidential Plz, Syracuse, NY 13202-2240
William Difilippo Nephrology Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 90 Presidential Plz, 2nd, Syracuse, NY 13202-2240
Elizabeth G Hall Nurse Practitioner Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 90 Presidential Plz, 2nd, Syracuse, NY 13202-2240
Catherine Fessenden Nurse Practitioner Upstate Family and Preventive Medicine Inc 90 Presidential Plz, Syracuse, NY 13202-2240
Anish Desai Pulmonary Disease Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 90 Presidential Plz, 2nd, Syracuse, NY 13202-2240
Sheetal Rayancha Rheumatology Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 90 Presidential Plz, 2nd, Syracuse, NY 13202-2240
Melanie Lape Pitts Nurse Practitioner Suny Health Science Center At Syracuse 90 Presidential Plz, Syracuse, NY 13202-2240
Awss Zidan Neurology Neurology Medical Service Group LLP 90 Presidential Plz, Suite 4, Syracuse, NY 13202-2240
Caitlin E Toomey Internal Medicine Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In 90 Presidential Plz, 2nd, Syracuse, NY 13202-2240
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Physicians in the same zip code

Name Specialty Organization Address
Dorothy R Lennon Addiction Medicine 319 E Water St, Syracuse, NY 13202-1123
Nesim Contente Obstetrics/gynecology Nesim Contente Md PC 215 E Water St, Syracuse, NY 13202-1159
Anna M Bailey Psychologist, Clinical 327 W Fayette St, Suite 310, Syracuse, NY 13202-1279
Miron A Iosilevich Psychiatry 327 W Fayette St, Suite 206, Syracuse, NY 13202-1279
Douglas D Goldschmidt Clinical Social Worker 430 E Genesee St, Suite 110, Syracuse, NY 13202-2155
Celia A Kamps Clinical Social Worker Psychiatry Faculty Practice Inc 600 E Genesee St, Suite 108, Syracuse, NY 13202-2195
Brian D Johnson Psychiatry Psychiatry Faculty Practice Inc 600 E Genesee St, Suite 108, Syracuse, NY 13202-2195
Sunny P Aslam Psychiatry Psychiatry Faculty Practice Inc 600 E Genesee St, Suite 108, Syracuse, NY 13202-2195
Ayan Mohamed Physician Assistant Suny Health Science Center At Syracuse 90 Presidential Plz, Syracuse, NY 13202-2240
Sara Tg Ali Neurology Neurology Medical Service Group LLP 90 Presidential Plz, Suite 4, Syracuse, NY 13202-2240
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Competitor

Search similar physicians

City SYRACUSE
Zip Code 13202
Specialty RHEUMATOLOGY
City + Specialty SYRACUSE + RHEUMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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