PEDIATRIC SERVICE GROUP
NPI 1770539066
Pediatrics in Syracuse, NY

Q: What is Pediatric Service Group's NPI number?

The NPI number for Pediatric Service Group is 1770539066. It was assigned to this organization in the NPPES registry on May 26, 2006.

Q: What is Pediatric Service Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 26, 2006

750 E. ADAMS ST., 5TH FLOOR, SYRACUSE, NY 13210(315) 464-5450(315) 464-7564 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Pediatric Service Group NPPES

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

PEDIATRIC SERVICE GROUP (NPI 1770539066) is a healthcare organization registered as a pediatrics in Syracuse, New York and active in the NPI registry since May 2006. The organization lists Thomas Welch, Chairman Of Department, as its authorized official.

NPPES Registry Identity

NPI1770539066

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePEDIATRIC SERVICE GROUP

Location Address750 E. ADAMS ST., 5TH FLOORSyracuse, NY 13210

Mailing Address750 E. Adams St., 5th FloorSyracuse, NY 13210 · (315) 464-5450 · Fax (315) 464-7564

Phone(315) 464-5450

Fax(315) 464-7564

Organization SubpartNo

Authorized OfficialThomas WelchChairman Of Department · (315) 464-5450

Enumeration DateMay 26, 2006

Last NPPES UpdateOctober 22, 2010

✔ NPI 1770539066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

750 E. ADAMS ST., Syracuse, NY 13210

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Other Identifiers 2

Medicaid01215750NY

Medicare PIN56651ANY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pediatric Service Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

131

Medicare enrollment records show 131 clinicians reassign Medicare billing to Pediatric Service Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 110 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Pediatric Medicine70

Nurse Practitioner14

Clinical Psychologist6

Hematology/Oncology6

Hospitalist5

Pulmonary Disease5

Critical Care (Intensivists)4

Endocrinology4

7 other specialties17

Nearest to this location (20)

See all 131

Jennifer Nead, MD

Pediatric Medicine

NPI 1114144805

750 E ADAMS ST SUNY UPSTATE MEDICAL UNIVERSITY, DEPT OF PEDIATRICS
Syracuse, NY 13210

(315) 464-5450

✔ PECOSSame address

John Andrake, MD

Pediatric Medicine

NPI 1700806387

725 EAST ADAMS ST 4TH FL
Syracuse, NY 13210

(315) 464-5831

✔ PECOS0.1 mi

Janice Bach, MD

Pediatric Medicine

NPI 1447357058

725 EAST ADAMS ST 4TH FL
Syracuse, NY 13210

(315) 464-5831

✔ PECOS0.1 mi

Davia Moss, NP

Nurse Practitioner

NPI 1013469873

725 E ADAMS ST FL 4
Syracuse, NY 13210

(315) 464-5831

✔ PECOS0.1 mi

Nisha Patel, MD

Endocrinology

NPI 1528453321

725 EAST ADAMS ST 5TH FL
Syracuse, NY 13210

(315) 464-5726

✔ PECOS✔ Accepts Medicare0.1 mi

Simrat Veera, DO

Endocrinology

NPI 1972124493

725 EAST ADAMS ST 5TH FL B&C
Syracuse, NY 13210

(315) 464-5726

✔ PECOS0.1 mi

Nisha Altaf Qazi, MD

Hospitalist

NPI 1093392136

750 EAST ADAMS ST
Syracuse, NY 13210

(315) 464-5450

✔ PECOS0.1 mi

Sarah Baluta, MD

Rheumatology

NPI 1437654555

750 E ADAMS ST
Syracuse, NY 13210

(315) 464-5420

✔ PECOS0.1 mi

Kerry Biggs, M.D.

Hospitalist

NPI 1821231515

750 E ADAMS ST
Syracuse, NY 13210

(315) 464-5450

✔ PECOS0.1 mi

Erin Blair, NURSE PRACTITIONER

Nurse Practitioner

NPI 1750577235

750 E ADAMS ST
Syracuse, NY 13210

(315) 464-4243

✔ PECOS0.1 mi

Rachel Clarke, MD

Critical Care (Intensivists)

NPI 1548687668

750 EAST ADAMS ST
Syracuse, NY 13210

(315) 464-5450

✔ PECOS0.1 mi

Melanie Comito, MD

Hematology/Oncology

NPI 1932152782

750 EAST ADAMS ST
Syracuse, NY 13210

(315) 464-6133

✔ PECOS✔ Accepts Medicare0.1 mi

Danielle Daniels, M.D.

Infectious Disease

NPI 1669907788

750 E ADAMS ST
Syracuse, NY 13210

(315) 464-5420

✔ PECOS0.1 mi

Joseph Domachowske, MD

Infectious Disease

NPI 1720007651

750 E ADAMS ST
Syracuse, NY 13210

(315) 464-5450

✔ PECOS0.1 mi

Timothy Hartigan, MD

Internal Medicine

NPI 1033678099

750 EAST ADAMS ST
Syracuse, NY 13210

(315) 464-5450

✔ PECOS✔ Accepts Medicare0.1 mi

Christina Nicolais, PHD

Clinical Psychologist

NPI 1164905295

750 EAST ADAMS ST
Syracuse, NY 13210

(315) 464-5450

✔ PECOS✔ Accepts Medicare0.1 mi

Zafer Soultan, MD

Pulmonary Disease

NPI 1801842000

750 E ADAMS ST
Syracuse, NY 13210

(315) 464-5450

✔ PECOS0.1 mi

Jessica Rosario-Falero, MD

Nephrology

NPI 1356837843

725 IRVING AVE STE 805
Syracuse, NY 13210

(315) 464-6340

✔ PECOS0.3 mi

Galen Hartman, MD

Gastroenterology

NPI 1437530409

725 IRVING AVE SUITE 504
Syracuse, NY 13210

(315) 464-8444

✔ PECOS0.3 mi

Nienke Dosa, MD

Neuropsychiatry

NPI 1063435774

725 IRVING AVE CROUSE POB
Syracuse, NY 13210

(315) 464-4842

✔ PECOS0.3 mi

See all 131 clinicians

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

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 Pediatric Service Group's NPI number?

The NPI number for Pediatric Service Group is 1770539066. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Pediatric Service Group located?

Pediatric Service Group is located at 750 E. Adams St. 5th Floor, Syracuse, NY 13210. The listed phone number is (315) 464-5450.

What is Pediatric Service Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Pediatric Service Group enrolled in Medicare?

Yes. Pediatric Service Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Service Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 131 clinicians in 15 Medicare specialties reassign their Medicare billing to Pediatric Service Group. A 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 the clinician's services. The largest specialties are Pediatric Medicine (70), Nurse Practitioner (14) and Clinical Psychologist (6). Of these, 1 practice at this address and 110 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pediatric Service Group was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.