MICHELLE M BODE MD
NPI 1356481592
Pediatrics - Neonatal-Perinatal Medicine in Syracuse, NY

Q: What is Michelle Bode's NPI number?

The NPI number for Michelle Bode is 1356481592. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Q: What is Michelle Bode's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Bode was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 07, 2007PECOS Enrolled

725 IRVING AVE RM 107, SYRACUSE, NY 13210(315) 470-7735(315) 470-2923 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Michelle M Bode Md NPPES

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

MICHELLE M BODE MD (NPI 1356481592) is an individual neonatal-perinatal medicine provider in Syracuse, New York, licensed in New York (213796) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356481592

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameMICHELLE M BODECredential: MD

Location Address725 IRVING AVE RM 107Syracuse, NY 13210-1603

Mailing Address725 Irving Ave Rm 107Syracuse, NY 13210-1603 · (315) 470-7735 · Fax (315) 470-2923

Phone(315) 470-7735

Fax(315) 470-2923

Sole ProprietorNo

Enumeration DateFebruary 7, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1356481592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in NY · 213796

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

725 IRVING AVE RM 107, Syracuse, NY 13210

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Other Identifiers 1

Medicaid02393557NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle M Bode 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 Reassignment

Medicare enrollment records show Michelle Bode reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Crouse Health Hospital

Same address

Urgent Care

739 IRVING AVE
Syracuse, NY 13210

Reassigned Medicare billing, New York enrollment
189 clinicians in this Medicare group

NPI 1699829846 (315) 470-7317

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

Other Providers at the Same Location NPPES

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

BEVERLY JANE ROY MD

Pediatrics (Neonatal-Perinatal Medicine)

725 IRVING AVE RM 107
SYRACUSE, NY 13210

Onondaga County (315) 470-7740

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 Michelle Bode's NPI number?

The NPI number for Michelle Bode is 1356481592. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Michelle Bode located?

Michelle Bode practices at 725 Irving Ave Rm 107, Syracuse, NY 13210. The listed phone number is (315) 470-7735.

What is Michelle Bode's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Michelle Bode enrolled in Medicare?

Yes. Michelle Bode is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Bode's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Bode reassigns Medicare benefits to Crouse Health Hospital (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 Michelle Bode'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 Michelle Bode was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.