MISS LARISA SYROW (MD) – Neurology Physician, NPI 1639364037

MISS LARISA SYROW (MD) is a healthcare provider. based in Kingsport, Tennessee. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 339880 (LA). The NPI Number for MISS LARISA SYROW (MD) is 1639364037

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MISS LARISA SYROW (MD)
NPI
1639364037
Phone
(423) 224-3150
Address
130 W Ravine Rd
Enumeration Date
9 September 2007
Last Update Date
25 February 2025

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
6012887000
Graduation Year
2007 (19 years ago)
PAC ID
4082863022
Group Practice PAC ID
1052397767
Professional Enrollment ID
I20231222000277
Address ID
MS394017200HA6051XSXXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness75
Years active:18State licenses:6Digital endpointsOther names

609 NEUROLOGY in TN

Provider Addresses for MISS LARISA SYROW (MD)

  • 130 W Ravine Rd

    Kingsport, TN 376603837

    Phone: (423) 224-3150

    Type: Location

  • 2000 Brookside Dr

    Kingsport, TN 376604627

    Phone: (423) 857-7000

    Type: Location

  • 1 Medical Park Blvd

    Bristol, TN 376207430

    Phone: (423) 844-1121

    Type: Location

  • 400 N State Of Franklin Rd

    Johnson City, TN 376046035

    Phone: (423) 323-6900

    Type: Location

  • 100 15th St NW

    Norton, VA 242731616

    Phone: (423) 630-7001

    Type: Location

  • 127 Health Care Dr

    Pennington Gap, VA 242772853

    Phone: (276) 299-5000

    Type: Location

  • 300 Med Tech Pkwy

    Johnson City, TN 376042277

    Phone: (423) 302-1000

    Type: Location

  • 1990 Holton Ave E

    Big Stone Gap, VA 242193350

    Phone: (276) 523-3111

    Type: Location

  • 312 Hospital Dr

    Clintwood, VA 242286786

    Phone: (276) 926-0300

    Type: Location

  • 58 Carroll Street

    Lebanon, VA 242664510

    Phone: (276) 883-8000

    Type: Location

  • 245 Medical Park Dr

    Marion, VA 243541100

    Phone: (276) 378-1000

    Type: Location

  • 16000 Johnston Memorial Dr

    Abingdon, VA 242117664

    Phone: (276) 258-1000

    Type: Location

  • 15790 Paul Vega Dr

    Hammond, LA 704031436

    Phone: (985) 230-1683

    Fax: (985) 230-6652

    Type: Location

  • 851 Locust St

    Rogersville, TN 378572407

    Phone: (423) 921-7000

    Type: Location

  • 1519 Main St

    Sneedville, TN 378693657

    Phone: (423) 733-5000

    Type: Location

  • 1420 Tusculum Blvd

    Greeneville, TN 377454279

    Phone: (423) 787-5000

    Type: Location

  • 1501 W Elk Ave

    Elizabethton, TN 376432874

    Phone: (423) 542-1300

    Type: Location

  • 2030 Temple Hill Rd

    Erwin, TN 376508721

    Phone: (423) 743-3141

    Type: Location

  • 1901 S Shady St

    Mountain City, TN 376832021

    Phone: (423) 727-1100

    Type: Location

  • 1701 S Creasy Ln

    Lafayette, IN 479054972

    Phone: (765) 502-4400

    Fax: (765) 502-4401

    Type: Location

  • 1512 SPRUCE ST APT 2212

    PHILADELPHIA, PA 191024569

    Phone:

    Type: Mailing

  • Maimonides Medical Center, 4802, 10th Avenue, Borough Park, Brooklyn, Kings County, New York, 11219, United States

    MAIMONIDES MEDICAL CENTER; DEPARTMENT OF MEDICINE

    BROOKLYN, NY 112192916

    Phone: (718) 283-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $3,923.

Total Amount is formed as General ($3,923) + Research ($0) + Ownership ($0) = $3,923.

Last reported payment date: 2023-06-20 • Largest payer in this snapshot: IMPEL PHARMACEUTICALS INC. ($2,693).

Total Amount

$3,923

General + Research + Ownership

Payments

6

Total payment records

General Amount

$3,923

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121005000477INeurologyNJTBD
I20231222000277INeurologyMSTBD
I20240228003371INeurologyGATBD
I20240308003318INeurologyFLTBD
I20240729004181INeurologyMOTBD
I20241009001450INeurologyTNTBD
I20241120003919INeurologyVATBD
I20250307001729INeurologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12681$0
95720Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional6454$0
95816Measurement of brain wave activity (eeg), awake and drowsy3837$0
95819Measurement of brain wave activity (eeg), awake and asleep3129$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 37660)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052397767View full group profile
NameSpecialtyState
N E U R O S U R G E R YMS
Nurse PractitionerMS
Clinical Social WorkerMS
P S Y C H I A T R YMS
Nurse PractitionerMS
-MS
N E U R O S U R G E R YTX
Thoracic SurgeryMS
H O S P I T A L I S TMS
Nurse PractitionerMS

Reviews

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Frequently asked questions

What NPI should I save for MISS LARISA SYROW (MD)?
Save NPI 1639364037 if you need a stable reference for MISS LARISA SYROW (MD).
Is MISS LARISA SYROW (MD)'s NPI currently valid?
The extract we use shows MISS LARISA SYROW (MD) as active.
What does MISS LARISA SYROW (MD) treat or focus on?
Patients typically see MISS LARISA SYROW (MD) under the specialty Neurology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MISS LARISA SYROW (MD)?
The page summarizes Kingsport, Tennessee for MISS LARISA SYROW (MD); expand the address list for detail.
Is MISS LARISA SYROW (MD) a real provider?
This page reflects official NPPES data for NPI 1639364037. Always confirm identity and privileges with the practice and licensing boards.

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