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

Mitra Ghasemi, MD

Individual provider Internal Medicine Physician · NPI 1780720763

Mitra Ghasemi, MD is a Pulmonary Disease in Syracuse, New York. Qualified in 1996, 30 years ago. Practices with Upstate Community Medical, PC, a 152-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and New York.

Years since qualifying
30
Licensed in
MA, NY
In the registry since
2007
Specialties on file
5
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

90 Presidential Plz Fl 2
Syracuse, NY 13202-2240
Phone: (315) 464-3835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17 Lansing St Ste 1160, Auburn, NY 13021-1983 — (315) 252-8838

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 303813 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 229777 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 303813 (NY)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 303813 (NY)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 229777 (MA)

Record details

NPI number1780720763
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022
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 specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Upstate Community Medical, Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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