1. Home
  2. Directory
  3. New York
  4. Syracuse
  5. Pediatrics
  6. NPI Profile

DR. FATIMA LAURA MEJIA-CONNOLLY DO
NPI 1477046183
Pediatrics - Pediatric Critical Care Medicine in Syracuse, NY

Active since June 08, 2018PECOS Enrolled
750 EAST ADAMS ST, SYRACUSE, NY 13210(315) 464-5450(315) 464-6322 Get Directions Write a Review

NPPES record last updated: June 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2025, Jun 4, 2024, May 13, 2024 (3 updates tracked since 2024).

About Dr. Fatima Laura Mejia-connolly Do NPPES

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

DR. FATIMA LAURA MEJIA-CONNOLLY DO (NPI 1477046183) is an individual pediatric critical care medicine provider in Syracuse, New York, licensed in New York (336085) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477046183
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. FATIMA LAURA MEJIA-CONNOLLYCredential: DO
Location Address750 EAST ADAMS STSyracuse, NY 13210-2306
Mailing Address750 East Adams StSyracuse, NY 13210-2306 · (315) 464-5450 · Fax (315) 464-6322
Phone(315) 464-5450
Fax(315) 464-6322
Sole ProprietorNo
Enumeration DateJune 8, 2018
Last NPPES UpdateJune 21, 20253 updates tracked since enumeration
NPPES CertifiedJune 21, 2025
✔ NPI 1477046183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NY · 336085
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 0102207256 (VA)
750 EAST ADAMS ST, Syracuse, NY 13210
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1707 E Main StMiddletown, NY 10940-2667 · Phone (845) 333-6333 · Fax (845) 333-7342
Location 27101 Jahnke RdRichmond, VA 23225-4017 · Phone (804) 320-3911

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fatima Laura Mejia-connolly Do 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 Reassignments

2

Medicare enrollment records show Fatima Mejia-connolly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Service Group
0.1 mi
Pediatrics
750 E. ADAMS ST., 5TH FLOOR
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group
NPI 1770539066 (315) 464-5450
Southeastern Intensivist Services PC
928 mi
Hospitalist
2100 N 7TH ST
West Memphis, AR 72301
  • Reassigned Medicare billing, Virginia enrollment
  • 528 clinicians in this Medicare group
NPI 1912942665 (870) 733-3020

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 20

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

NICHOLAS ZACCOR MD,PHD
Otolaryngology
750 EAST ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4636
MRS. YINGZI WANG FNP
Nurse Practitioner (Family)
750 EAST ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-1800
NICOLE M MONGEON PA
Physician Assistant
750 EAST ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
MATTHEW D THORNTON MD
Pediatrics (Pediatric Emergency Medicine)
750 EAST ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
LISA ANN VIGNOGNA MD
Emergency Medicine
750 EAST ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
TIMOTHY J HARTIGAN MD
Hospitalist
750 EAST ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5450
MR. EDWARD G ZHAO MD
Hospitalist
750 EAST ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5910
NISHA ALTAF QAZI MD
Hospitalist
750 EAST ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5450

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 Fatima Mejia-connolly's NPI number?

The NPI number for Fatima Mejia-connolly is 1477046183. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Fatima Mejia-connolly located?

Fatima Mejia-connolly practices at 750 East Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-5450.

What is Fatima Mejia-connolly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Fatima Mejia-connolly enrolled in Medicare?

Yes. Fatima Mejia-connolly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fatima Mejia-connolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fatima Mejia-connolly reassigns Medicare benefits to 2 organizations: Pediatric Service Group (Syracuse, NY) and Southeastern Intensivist Services PC (West Memphis, AR). 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 Fatima Mejia-connolly'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 Fatima Mejia-connolly was last updated on June 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.