MICHAEL JOSEPH PEREIRA III DNP CRNA
NPI 1396540969
Nurse Anesthetist, Certified Registered in Syracuse, NY

Active since February 17, 2025Accepts Medicare Assignment
4900 BROAD RD, SYRACUSE, NY 13215(315) 492-5011 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Joseph Pereira Iii Dnp Crna NPPES

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

MICHAEL JOSEPH PEREIRA III DNP CRNA (NPI 1396540969) is an individual nurse anesthetist, certified registered in Syracuse, New York, licensed in New York (154236) and active in the NPI registry since February 2025. He is affiliated with University Hospital S U N Y Health Science Center, maintains a secondary practice location in Syracuse, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396540969
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL JOSEPH PEREIRA IIICredential: DNP CRNA
Location Address4900 BROAD RDSyracuse, NY 13215-2265
Mailing Address265c Evans St Apt 8Buffalo, NY 14221-5604 · (845) 901-7834
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 17, 2025
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1396540969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NY · 154236
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
4900 BROAD RD, Syracuse, NY 13215

Secondary Practice Location 1

Location 1750 E Adams StSyracuse, NY 13210-2306 · Phone (315) 464-5540

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

Michael Joseph Pereira Iii Dnp Crna 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.

PECOS PAC ID3678084514
PECOS Enrollment IDI20250617002635

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Pereira reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Anesthesiology
4900 BROAD RD
Syracuse, NY 13215
  • Reassigned Medicare billing, New York enrollment
  • 116 clinicians in this Medicare group
Anesthesiology
225 GREENFIELD PKWY STE 105
Liverpool, NY 13088
  • Reassigned Medicare billing, New York enrollment
  • 30 clinicians in this Medicare group
Anesthesiology
4309 MEDICAL CENTER DR
Fayetteville, NY 13066
  • Reassigned Medicare billing, New York enrollment
  • 76 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13215 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

Occupational Therapist
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Practitioner (Family)
4900 BROAD RD, SUITE 4K
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Psychiatry & Neurology (Neurology)
4900 BROAD RD, CGH POB SUITE 2F
SYRACUSE, NY 13215
Physician Assistant
4900 BROAD RD
SYRACUSE, NY 13215

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 Michael Pereira's NPI number?

The NPI number for Michael Pereira is 1396540969. It was assigned to this individual provider in the NPPES registry on February 17, 2025.

Where is Michael Pereira located?

Michael Pereira practices at 4900 Broad Rd, Syracuse, NY 13215. The listed phone number is (315) 492-5011.

What is Michael Pereira's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Michael Pereira enrolled in Medicare?

Yes. Michael Pereira 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 organizations bill Medicare for Michael Pereira's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Pereira reassigns Medicare benefits to 3 organizations: Chag Anesthesia PC (Syracuse, NY), Syracuse ASC LLC (Liverpool, NY) and Agcny Physicians PLLC (Fayetteville, 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 Michael Pereira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Pereira affiliated with any hospitals?

According to CMS data, Michael Pereira is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Michael Pereira was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.