Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. KIABEH JALLAH
NPI 1124919592
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY

Q: What is Kiabeh Jallah's NPI number?

The NPI number for Kiabeh Jallah is 1124919592. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Q: What is Kiabeh Jallah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kiabeh Jallah was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.

Active since July 14, 2025PECOS Enrolled

1045 JAMES ST, SYRACUSE, NY 13203(315) 472-4471(315) 999-1377 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 14, 2026, Aug 5, 2025 (2 updates tracked since 2025).

On this page

About Ms. Kiabeh Jallah NPPES

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

MS. KIABEH JALLAH (NPI 1124919592) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (407077) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oswego, and is a graduate of State University Of Ny Upstate Medical University (2025).

NPPES Registry Identity

NPI1124919592

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. KIABEH JALLAH

Location Address1045 JAMES STSyracuse, NY 13203-2730

Mailing Address1045 James StSyracuse, NY 13203-2730 · (315) 472-4471 · Fax (315) 999-1377

Phone(315) 472-4471

Fax(315) 999-1377

Sole ProprietorYes

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2025

Enumeration DateJuly 14, 2025

Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1124919592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 407077

1045 JAMES ST, Syracuse, NY 13203

Open in Google Maps ↗

Secondary Practice Location 1

Location 1283 W 2nd St # 200Oswego, NY 13126-3812 · Phone (315) 450-8594

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kiabeh Jallah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840761839

PECOS Enrollment IDI20260610002091

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 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 20

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

ANDREA ROSA VERGARA LCSW

Social Worker (Clinical)