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

Dr. Stephen Andrew Blakely, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811123722

Dr. Stephen Andrew Blakely, MD is an Urology in Syracuse, New York. Graduated from University of Maryland School of Medicine in 2009, 17 years ago. Practices with Upstate Urology, Inc, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and New York.

Years since qualifying
17
Trained at
University of Maryland School of Medicine
Licensed in
CO, NY
In the registry since
2009
Specialties on file
3
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

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 464-6106
Fax: (315) 464-6117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 284455 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Urology Physician Taxonomy 208800000X · Licence DR.0054973 (CO)

Record details

NPI number1811123722
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2009
Last updated in NPPESAugust 5, 2016
Mailing address251 Salina Meadows Pkwy Ste 100, Syracuse, NY 13212-4516

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Upstate Urology, Inc. — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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