MARY AGNES PAVLOVICH LEWIS MD
NPI 1942837653
Anesthesiology in Syracuse, NY
About Mary Agnes Pavlovich Lewis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY AGNES PAVLOVICH LEWIS MD (NPI 1942837653) is an individual anesthesiology provider in Syracuse, New York, licensed in New York (335849-01) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Mary Agnes Pavlovich Lewis Md 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 Reassignment
Medicare enrollment records show Mary Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 132 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYOther Providers at the Same Location NPPES 3
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 Mary Lewis's NPI number?
The NPI number for Mary Lewis is 1942837653. It was assigned to this individual provider in the NPPES registry on March 24, 2020. The provider is also known as Mary Agnes Pavlovich.
Where is Mary Lewis located?
Mary Lewis practices at 750 E Adams St Rm 4143, Syracuse, NY 13210. The listed phone number is (315) 464-4720.
What is Mary Lewis's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Mary Lewis enrolled in Medicare?
Yes. Mary Lewis 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 organization bills Medicare for Mary Lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Lewis reassigns Medicare benefits to Upstate Medical Anesthesiology Group, 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 Mary Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mary Lewis affiliated with any hospitals?
According to CMS data, Mary Lewis is affiliated with University Hospital S U N Y Health Science Center.
When was this NPI record last updated?
The NPPES record for Mary Lewis was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Mary Agnes Pavlovich Lewis, MD · NPI 1942837653
Anesthesiology physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since March 24, 2020.
## Identity
- **NPI:** 1942837653 (Entity type: Individual)
- **Enumerated:** March 24, 2020
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 335849-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 E ADAMS ST RM 4143, Syracuse, NY 13210-2306
- **Phone:** (315) 464-4720
## 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:** Upstate Medical Anesthesiology Group, Inc. (NPI 1851485759, Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1942837653) · Data from the CMS NPPES public registry.