Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Idan Goren, MD

Individual provider Gastroenterology Physician · NPI 1811691934

Dr. Idan Goren, MD is a Gastroenterology in Syracuse, New York. Qualified in 2011, 15 years ago. Practices with Department of Medicine Medical Serv Grp at Suny Hlth Sci Ctr Syr In, a 276-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Ohio.

Years since qualifying
15
Licensed in
NY, OH
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 E Genesee St Ste 205
Syracuse, NY 13210
Phone: (315) 464-1600
Fax: (315) 464-1601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 327272 (NY)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 57.253985 (OH)

Record details

NPI number1811691934
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESAugust 15, 2024
Certification dateMarch 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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