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SHAUNA THARIATH MD
NPI 1003377979
Pediatrics in Syracuse, NY

Active since March 25, 2019PECOS Enrolled
725 EAST ADAMS ST, 4TH FL, SYRACUSE, NY 13210(315) 464-5831(315) 464-2030 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2023, Oct 3, 2022 (2 updates tracked since 2022).

About Shauna Thariath Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAUNA THARIATH MD (NPI 1003377979) is an individual pediatrics provider in Syracuse, New York, licensed in New York (317553) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1003377979
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHAUNA THARIATHCredential: MD
Location Address725 EAST ADAMS ST, 4TH FLSyracuse, NY 13210
Mailing Address725 East Adams St, 4th FlSyracuse, NY 13210 · (315) 464-5831 · Fax (315) 464-2030
Phone(315) 464-5831
Fax(315) 464-2030
Sole ProprietorNo
Enumeration DateMarch 25, 2019
Last NPPES UpdateMay 11, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1003377979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 317553
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
725 EAST ADAMS ST, Syracuse, NY 13210
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Secondary Practice Location 1

Location 11127 University Blvd NEAlbuquerque, NM 87102-1740 · Phone (505) 272-5200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shauna Thariath Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Shauna Thariath reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Service Group
0.1 mi
Pediatrics
750 E. ADAMS ST., 5TH FLOOR
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group
NPI 1770539066 (315) 464-5450
Upstate Emergency Medicine, Inc
0.1 mi
Emergency Medicine
750 E. ADAMS ST.
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 170 clinicians in this Medicare group
NPI 1275589582 (315) 464-4363

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN DAVID BLATT MD
Pediatrics
725 EAST ADAMS ST, 4TH FL
SYRACUSE, NY 13210
Onondaga County (315) 464-5831
STEFANIJA MURGOSKA PA
Physician Assistant
725 EAST ADAMS ST, 4TH FL
SYRACUSE, NY 13210
Onondaga County (315) 464-5831
PRIYANKA KAUL MD
Pediatrics
725 EAST ADAMS ST, 4TH FL
SYRACUSE, NY 13210
Onondaga County (315) 464-5831
ALICIA RENEE PEKARSKY MD
Pediatrics
725 EAST ADAMS ST, 4TH FL
SYRACUSE, NY 13210
Onondaga County (315) 464-5831
DR. JENICA O'MALLEY DO
Pediatrics
725 EAST ADAMS ST, 4TH FL
SYRACUSE, NY 13210
Onondaga County (315) 464-5831
DR. AIMEE MARIE STEINIGER MD
Pediatrics
725 EAST ADAMS ST, 4TH FLOOR
SYRACUSE, NY 13210
Onondaga County (315) 464-5831
DR. JOSHUA BONVILLE MD
Pediatrics
725 EAST ADAMS ST, 4TH FL
SYRACUSE, NY 13210
Onondaga County (315) 464-5831
JANICE E BACH MD
Pediatrics
725 EAST ADAMS ST, 4TH FL
SYRACUSE, NY 13210
Onondaga County (315) 464-5831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shauna Thariath's NPI number?

The NPI number for Shauna Thariath is 1003377979. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Shauna Thariath located?

Shauna Thariath practices at 725 East Adams St 4th Fl, Syracuse, NY 13210. The listed phone number is (315) 464-5831.

What is Shauna Thariath's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shauna Thariath enrolled in Medicare?

Yes. Shauna Thariath is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shauna Thariath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shauna Thariath reassigns Medicare benefits to 2 organizations: Pediatric Service Group (Syracuse, NY) and Upstate Emergency Medicine, Inc (Syracuse, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shauna Thariath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shauna Thariath was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.