DR. JENICA O'MALLEY DO
NPI 1285995324
Pediatrics in Syracuse, NY
About Dr. Jenica O'malley Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JENICA O'MALLEY DO (NPI 1285995324) is an individual pediatrics provider in Syracuse, New York, licensed in New York (279084) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jenica O'malley Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jenica O'malley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 131 clinicians in this Medicare group
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.
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.
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 Jenica O'malley's NPI number?
The NPI number for Jenica O'malley is 1285995324. It was assigned to this individual provider in the NPPES registry on June 5, 2012.
Where is Jenica O'malley located?
Jenica O'malley practices at 725 East Adams St 4th Fl, Syracuse, NY 13210. The listed phone number is (315) 464-5831.
What is Jenica O'malley's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jenica O'malley enrolled in Medicare?
Yes. Jenica O'malley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jenica O'malley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenica O'malley reassigns Medicare benefits to Pediatric Service Group (Syracuse, NY). The 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 Jenica O'malley'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 Jenica O'malley was last updated on May 22, 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.
# Dr. Jenica O'malley, DO · NPI 1285995324
Pediatrics physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since June 5, 2012.
## Identity
- **NPI:** 1285995324 (Entity type: Individual)
- **Enumerated:** June 5, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 279084 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 EAST ADAMS ST, 4TH FL, Syracuse, NY 13210-2576
- **Phone:** (315) 464-5831 · **Fax:** (315) 464-2030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pediatric Service Group (NPI 1770539066, Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 22, 2023
- **Other identifiers:** Medicaid 04277845 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1285995324) · Data from the CMS NPPES public registry.