Individual provider Active NPI

Emilia Kathleen Peluso, PA-C

  • Physician Assistant
  • Liverpool, NY
National Provider Identifier
1669846341
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019233 Issued in NY
Practice address
8100 Oswego Rd Ste 225
Liverpool, NY 13090-1659
Phone
(315) 279-0380
Fax
(315) 300-7382
NPI assigned
Nov 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019233 NY Primary

Addresses

Primary practice location

8100 Oswego Rd Ste 225
Liverpool, NY 13090-1659

Mailing address

8100 Oswego Rd Ste 225
Liverpool, NY 13090-1659
Phone (315) 279-0380

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160125000694 NY Practitioner - Physician Assistant 4981907094 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.04 of 100Reported as group
Quality
67.92
Promoting interoperability
99
Improvement activities
40
Cost
69.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jeanne Lomas Allergy Medicine PLLC CurrentSince Nov 14, 2025 Accepting new patients
Suny Health Science Center at Syracuse Physician Assistant CurrentSince Apr 18, 2024 Accepting new patients
Suny Health Science Center at Syracuse CurrentSince Apr 18, 2024 Accepting new patients

Locations

500 Corporate Pkwy
Ste 100
Buffalo, NY 14226
Phone (716) 631-0380

8100 Oswego Rd
Liverpool, NY 13090
Phone (315) 279-0380

8100 Oswego Rd
Ste 225
Liverpool, NY 13090
Phone (315) 279-0380

725 E Adams St
Syracuse, NY 13210
Phone (315) 464-4357

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

Interoperability endpoints

  • Direct secure messaging: emiliapelusopa@baaa.medentdirect.com
  • Direct secure messaging: epeluso153406@direct.upstate.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1669846341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 OSWEGO RD STE 225",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901659",
            "telephone_number": "315-279-0380",
            "fax_number": "315-300-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 OSWEGO RD STE 225",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901659",
            "telephone_number": "315-279-0380",
            "fax_number": "315-300-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELUSO",
        "first_name": "EMILIA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.