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DR. JOHN JOSEPH PETOSA JR. MD
NPI 1851896526
Pediatrics - Pediatric Emergency Medicine in Syracuse, NY

Active since March 26, 2018PECOS Enrolled
750 EAST ADAMS ST., SYRACUSE, NY 13210(315) 464-4363(315) 464-8690 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, Nov 1, 2021, Oct 20, 2021 and 3 more (6 updates tracked since 2018).

About Dr. John Joseph Petosa Jr. Md NPPES

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

DR. JOHN JOSEPH PETOSA JR. MD (NPI 1851896526) is an individual pediatric emergency medicine provider in Syracuse, New York, licensed in New York (326512) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1851896526
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. JOHN JOSEPH PETOSA JR.Credential: MD
Location Address750 EAST ADAMS ST.Syracuse, NY 13210-2306
Mailing Address750 East Adams St.Syracuse, NY 13210-2306 · (315) 464-4363 · Fax (315) 464-8690
Phone(315) 464-4363
Fax(315) 464-8690
Sole ProprietorNo
Enumeration DateMarch 26, 2018
Last NPPES UpdateJuly 15, 20246 updates tracked since enumeration
NPPES CertifiedMarch 30, 2022
✔ NPI 1851896526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in NY · 326512✔ Licensed in TN · 63941
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
750 EAST ADAMS ST., Syracuse, NY 13210
Open in Google Maps ↗

Secondary Practice Location 1

Location 12200 Childrens Way # B319Nashville, TN 37232-9001 · Phone (615) 936-3898 · Fax (615) 936-4392

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Joseph Petosa Jr. Md 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 Reassignment

Medicare enrollment records show John Petosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upstate Emergency Medicine, Inc
0.1 mi
Emergency Medicine
750 E. ADAMS ST.
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 170 clinicians in this Medicare group
NPI 1275589582 (315) 464-4363

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 11

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

BETTIE LOUGHREY NP
Nurse Practitioner (Psychiatric/Mental Health)
750 EAST ADAMS ST.
SYRACUSE, NY 13210
Onondaga County (315) 464-3265
DR. THOMAS JEFFERSON VANDERMEER MD
Surgery
750 EAST ADAMS ST.
SYRACUSE, NY 13210
Onondaga County (315) 464-1800
DR. ANKUR KALRA MD
Internal Medicine (Cardiovascular Disease)
750 EAST ADAMS ST.
SYRACUSE, NY 13210
Onondaga County (315) 464-2680
VINOJA CHARATHCHANDRA SEBANAYAGAM MD
Internal Medicine
750 EAST ADAMS ST.
SYRACUSE, NY 13210
Onondaga County (315) 464-5910
LORI JO SOPKO MOT
Occupational Therapist
750 EAST ADAMS ST.
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
SHARJEEL KHAN SAMEJO MD
Hospitalist
750 EAST ADAMS ST.
SYRACUSE, NY 13210
Onondaga County (315) 464-5910
DR. KAAMEL NUHU MD
Hospitalist
750 EAST ADAMS ST.
SYRACUSE, NY 13210
Onondaga County (315) 464-5910
HARSHIL J. GUMASANA MD
Hospitalist
750 EAST ADAMS ST.
SYRACUSE, NY 13210
Onondaga County (315) 464-5910

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 John Petosa's NPI number?

The NPI number for John Petosa is 1851896526. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is John Petosa located?

John Petosa practices at 750 East Adams St., Syracuse, NY 13210. The listed phone number is (315) 464-4363.

What is John Petosa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is John Petosa enrolled in Medicare?

Yes. John Petosa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Petosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Petosa reassigns Medicare benefits to Upstate Emergency Medicine, Inc (Syracuse, NY). The 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 John Petosa'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 John Petosa was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.