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JODI BETH WALLIS D.O.
NPI 1811135684
Obstetrics & Gynecology in Syracuse, NY

Active since February 01, 2009PECOS Enrolled
725 IRVING AVE, STE 600, SYRACUSE, NY 13210(315) 464-5162(315) 464-4613 Get Directions Write a Review

NPPES record last updated: November 14, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jodi Beth Wallis D.o. NPPES

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

JODI BETH WALLIS D.O. (NPI 1811135684) is an individual obstetrics & gynecology provider in Syracuse, New York, licensed in New York (271804) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811135684
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJODI BETH WALLISCredential: D.O.
Location Address725 IRVING AVE, STE 600Syracuse, NY 13210-1603
Mailing Address725 Irving Ave, Ste 600Syracuse, NY 13210-1603 · (315) 464-5162 · Fax (315) 464-4613
Phone(315) 464-5162
Fax(315) 464-4613
Sole ProprietorNo
Enumeration DateFebruary 1, 2009
Last NPPES UpdateNovember 14, 2013
✔ NPI 1811135684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 271804
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
725 IRVING AVE, Syracuse, NY 13210
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Other Names 1

Former Name (1)Dr. Jodi Beth Kaplan D.o.

Other Identifiers 2

Medicare PINJ400099249NY
Medicaid03657994NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jodi Beth Wallis D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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.

DR. FARUK OKTEM
Pediatrics (Pediatric Nephrology)
725 IRVING AVE, STE 805
SYRACUSE, NY 13210
Onondaga County (315) 464-6340
LAWRENCE S CHIN M.D.
Neurological Surgery
725 IRVING AVE, STE. 503
SYRACUSE, NY 13210
Onondaga County (315) 464-4470
LEAH KAUFMAN MD
Obstetrics & Gynecology
725 IRVING AVE, STE 600
SYRACUSE, NY 13210
Onondaga County (315) 464-5162
NIENKE PRINS DOSA MD
Pediatrics (Neurodevelopmental Disabilities)
725 IRVING AVE, CROUSE POB
SYRACUSE, NY 13210
Onondaga County (315) 464-4842
LAWRENCE RAYMOND SHOEMAKER MD
Pediatrics (Pediatric Nephrology)
725 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (315) 464-6340
SUHAS V. PRADHAN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
725 IRVING AVE, STE 514
SYRACUSE, NY 13210
Onondaga County (315) 475-8409
EMMA ELIZABETH PATELLO MD
Obstetrics & Gynecology
725 IRVING AVE, STE 600
SYRACUSE, NY 13210
Onondaga County (315) 464-5162
DAVID P PAAR MD
Internal Medicine (Infectious Disease)
725 IRVING AVE, STE 311
SYRACUSE, NY 13210
Onondaga County (315) 464-5533

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 Jodi Wallis's NPI number?

The NPI number for Jodi Wallis is 1811135684. It was assigned to this individual provider in the NPPES registry on February 1, 2009. The provider is also known as Dr. Jodi Beth Kaplan D.O..

Where is Jodi Wallis located?

Jodi Wallis practices at 725 Irving Ave Ste 600, Syracuse, NY 13210. The listed phone number is (315) 464-5162.

What is Jodi Wallis's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jodi Wallis enrolled in Medicare?

Yes. Jodi Wallis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jodi Wallis was last updated on November 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.