Individual provider Active NPI

Myra Batool, MD

  • Pediatric Pulmonology Physician
  • Syracuse, NY
National Provider Identifier
1538711155
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
319789 Issued in NY
Practice address
475 Irving Ave
Ste 090
Syracuse, NY 13210
Phone
(315) 464-6323
Fax
(315) 464-7218
NPI assigned
Jul 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X 319789 NY Primary

Addresses

Primary practice location

475 Irving Ave
Ste 090
Syracuse, NY 13210

Mailing address

475 Irving Ave
Ste 090
Syracuse, NY 13210
Phone (315) 464-6323

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address batoolm@nychhc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250527000146 NY Practitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 1557880390 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Emergency Medicine, Inc CurrentSince Jan 1, 2026 Accepting new patients
Pediatric Service Group CurrentSince Jun 1, 2025 Accepting new patients
Crouse Health Hospital, Inc. Past Accepting new patients

Locations

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

475 Irving Ave
Ste 90
Syracuse, NY 13210
Phone (315) 454-6323

Interoperability endpoints

  • Direct secure messaging: mbatool169057@direct.upstate.edu

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1538711155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "STE 090",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-464-6323",
            "fax_number": "315-464-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "STE 090",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-464-6323",
            "fax_number": "315-464-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATOOL",
        "first_name": "MYRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-13",
        "last_updated": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NY",
            "license": "319789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "batoolm@nychhc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ADDRESS",
            "address_1": "450 Clarkson Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112032012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.