Fairgrounds Family Physicians PLLC
NPI 1174690440 · Family Medicine Physician · Manlius, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairgrounds Family Physicians PLLC is a Family Medicine Physician organization in Manlius, NY (NPI 1174690440).
Provider details
- NPI number
- 1174690440
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Philip Kaplan, Member(315) 682-6165
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2025-01-09
- Certified
- 2025-01-09
Frequently asked questions
- What is Fairgrounds Family Physicians PLLC's NPI number?
- Fairgrounds Family Physicians PLLC's National Provider Identifier (NPI) is 1174690440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairgrounds Family Physicians PLLC?
- Fairgrounds Family Physicians PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fairgrounds Family Physicians PLLC located?
- Fairgrounds Family Physicians PLLC's practice location on file with NPPES is 115 Fairgrounds Drive, Manlius, NY 13104.
- What is Fairgrounds Family Physicians PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fairgrounds Family Physicians PLLC is (315) 682-6165.
- Does Fairgrounds Family Physicians PLLC accept Medicare?
- Fairgrounds Family Physicians PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fairgrounds Family Physicians PLLC?
- The authorized official listed on Fairgrounds Family Physicians PLLC's NPPES record is Philip Kaplan, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairgrounds Family Physicians PLLC's NPI active?
- Yes — Fairgrounds Family Physicians PLLC's NPI (1174690440) is active in the NPPES registry as of the last update on 2025-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.