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

Dr. Siva V Dantu, MD

Individual provider Surgery Physician · NPI 1174978787

Dr. Siva V Dantu, MD is a Colorectal Surgery (Proctology) in East Syracuse, New York. Qualified in 2016, 10 years ago. Practices with Colon Rectal Associates of Central New York LLP, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Glacier Crk Ofc Park-Bldg II 6711 Towpath RD Ste 175
East Syracuse, NY 13057-9510
Phone: (315) 458-2211
Fax: (315) 452-9025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 148940 (FL)

Record details

NPI number1174978787
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 2, 2016
Last updated in NPPESNovember 20, 2023
Certification dateJuly 6, 2021

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Colon Rectal Associates Of Central New York Llp — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in East Syracuse