JOAN ELIZABETH PELLEGRINO MD
NPI 1407876584
Medical Genetics - Clinical Genetics (M.D.) in Syracuse, NY
About Joan Elizabeth Pellegrino Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOAN ELIZABETH PELLEGRINO MD (NPI 1407876584) is an individual clinical genetics (m.d.) provider in Syracuse, New York, licensed in New York (233547) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of State University Of Ny Upstate Medical University (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Joan Elizabeth Pellegrino Md 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 Joan Pellegrino 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.
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, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13210
SYRACUSE, NY 13210
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 Joan Pellegrino's NPI number?
The NPI number for Joan Pellegrino is 1407876584. It was assigned to this individual provider in the NPPES registry on July 20, 2006.
Where is Joan Pellegrino located?
Joan Pellegrino practices at 725 Irving Ave Crouse Pob, Syracuse, NY 13210. The listed phone number is (315) 464-6395.
What is Joan Pellegrino's specialty?
The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.
Is Joan Pellegrino enrolled in Medicare?
Yes. Joan Pellegrino 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 Joan Pellegrino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joan Pellegrino 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 Joan Pellegrino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Joan Pellegrino affiliated with any hospitals?
According to CMS data, Joan Pellegrino is affiliated with University Hospital S U N Y Health Science Center.
When was this NPI record last updated?
The NPPES record for Joan Pellegrino was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Joan Elizabeth Pellegrino, MD · NPI 1407876584
Clinical Genetics (M.D.) physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since July 20, 2006.
## Identity
- **NPI:** 1407876584 (Entity type: Individual)
- **Enumerated:** July 20, 2006
- **Primary specialty:** Medical Genetics - Clinical Genetics (M.D.) · taxonomy 207SG0201X
- **State license:** 233547 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 IRVING AVE, CROUSE POB, Syracuse, NY 13210-1603
- **Phone:** (315) 464-6395 · **Fax:** (315) 464-7238
## 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:** State University Of Ny Upstate Medical University, class of 1990
## Record status
- **NPPES last updated:** August 27, 2013
- **Other identifiers:** Medicare UPIN G62256 (NY); Medicaid 02619152 (NY); Medicare PIN RA5198 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1407876584) · Data from the CMS NPPES public registry.