JODI BETH WALLIS D.O.
NPI 1811135684
Obstetrics & Gynecology in Syracuse, NY
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 and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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
Jodi Beth Wallis D.o. 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 Reassignments
3Medicare enrollment records show Jodi Wallis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 66 clinicians in this Medicare group
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 369 clinicians in this Medicare group
Liverpool, NY 13088
- Reassigned Medicare billing, New York enrollment
- 625 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.
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.
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.
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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jodi Wallis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jodi Wallis reassigns Medicare benefits to 3 organizations: University Ob/Gyn Associates (Syracuse, NY), St Josephs Hospital Health Center (Syracuse, NY) and St Josephs Medical PC (Liverpool, NY). 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 Jodi Wallis'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 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.
# Jodi Beth Wallis, D.O. · NPI 1811135684
Obstetrics & Gynecology physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since February 1, 2009.
## Identity
- **NPI:** 1811135684 (Entity type: Individual)
- **Enumerated:** February 1, 2009
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 271804 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 IRVING AVE, STE 600, Syracuse, NY 13210-1603
- **Phone:** (315) 464-5162 · **Fax:** (315) 464-4613
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): University Ob/Gyn Associates (NPI 1235170150, Syracuse, NY); St Josephs Hospital Health Center (NPI 1508815333, Syracuse, NY); St Josephs Medical PC (NPI 1942501747, Liverpool, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** November 14, 2013
- **Other identifiers:** Medicare PIN J400099249 (NY); Medicaid 03657994 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1811135684) · Data from the CMS NPPES public registry.