Active NPI
Michael Joseph Pereira III, DNP CRNA
- Certified Registered Nurse Anesthetist
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 154236
- Practice address
- 4900 Broad Rd
Syracuse, NY 13215-2265 - Phone
- (315) 492-5011
- NPI assigned
- Feb 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Fayetteville, NY
- NPI 1033497136
-
- Anesthesiology Physician
- Syracuse, NY
- NPI 1740279017
-
- Anesthesiology Physician
- Liverpool, NY
- NPI 1790591576
-
- Ambulatory Surgical Clinic/Center
- Liverpool, NY
- NPI 1265488563
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Syracuse ASC LLCAgcny Physicians PLLCChag Anesthesia PC
Practice addresses (Care Compare)
225 Greenfield Pkwy
Suite 105
Liverpool, NY 13088-6656
Phone (315) 451-6911
260 Township Blvd
Suite 20
Camillus, NY 13031-1678
Phone (315) 708-0091
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 498-6200
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250617002635 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3678084514 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154236 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chag Anesthesia PC | Current | Accepting new patients | |
| Syracuse ASC LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Agcny Physicians PLLC | Current | Accepting new patients |
Locations
260 Township Blvd
Ste 20
Camillus, NY 13031
Phone (315) 708-0091
4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300
225 Greenfield Pkwy
Ste 105
Liverpool, NY 13088
Phone (315) 451-6911
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 154236 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4900 Broad Rd
Syracuse, NY 13215-2265
Mailing address
265C Evans St Apt 8
Buffalo, NY 14221-5604
Phone (845) 901-7834
Other practice location 1
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-5540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2026.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1396540969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265C EVANS ST APT 8",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142215604",
"telephone_number": "845-901-7834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 BROAD RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132152265",
"telephone_number": "315-492-5011"
}
],
"practiceLocations": [
{
"address_1": "750 E Adams St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132102306",
"country_code": "US",
"telephone_number": "315-464-5540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREIRA",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_suffix": "III",
"credential": "DNP CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-17",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "154236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.