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MARIANGELES MEDINA PEREZ M.D.
NPI 1710339627
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Active since July 05, 2016PECOS EnrolledAccepts Medicare Assignment
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5540 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 21, 2017 (2 updates tracked since 2017).

About Mariangeles Medina Perez M.d. NPPES

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

MARIANGELES MEDINA PEREZ M.D. (NPI 1710339627) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1710339627
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARIANGELES MEDINA PEREZCredential: M.D.
Location Address750 E ADAMS STSyracuse, NY 13210-2306
Mailing Address750 E Adams StSyracuse, NY 13210-2306 · (315) 464-5540
Phone(315) 464-5540
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 5, 2016
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1710339627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
750 E ADAMS ST, Syracuse, NY 13210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

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

Mariangeles Medina Perez M.d. 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 ID9638463433
PECOS Enrollment IDI20230726000438
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 Mariangeles Medina Perez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Alabama Health Services Foundation, PC
865 mi
Clinical Medical Laboratory
720 20TH STREET SOUTH
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1366638330 (205) 934-4983
Pediatric Radiology Associates, PC
879 mi
Pediatric Radiology
619 19TH STREET SOUTH
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 15 clinicians in this Medicare group
NPI 1225178742 (205) 934-6600

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.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

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 Mariangeles Medina Perez's NPI number?

The NPI number for Mariangeles Medina Perez is 1710339627. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Where is Mariangeles Medina Perez located?

Mariangeles Medina Perez practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-5540.

What is Mariangeles Medina Perez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mariangeles Medina Perez enrolled in Medicare?

Yes. Mariangeles Medina Perez 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 Mariangeles Medina Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariangeles Medina Perez reassigns Medicare benefits to 2 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL) and Pediatric Radiology Associates, PC (Birmingham, AL). 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 Mariangeles Medina Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariangeles Medina Perez accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Mariangeles Medina Perez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mariangeles Medina Perez was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.