Individual provider Active NPI

Eileen M Simiele, MD

  • Anesthesiology Physician
  • Syracuse, NY
National Provider Identifier
1730134321
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
239237 Issued in NY
Practice address
4900 Broad Rd
Syracuse, NY 13215-2265
Phone
(315) 492-5522
Fax
(315) 492-5163
NPI assigned
May 23, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 239237 NY Primary

Addresses

Primary practice location

4900 Broad Rd
Syracuse, NY 13215-2265

Mailing address

PO Box 2005
East Syracuse, NY 13057-4505
Phone (315) 362-5129

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
I20061010000191 NY Practitioner - Anesthesiology 1355347634 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of Ny Upstate Medical University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syracuse ASC LLCGroup PAC ID 2062586001, 23 clinicians

Practice addresses (Care Compare)

225 Greenfield Pkwy
Suite 105
Liverpool, NY 13088-6656
Phone (315) 451-6911

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239237NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agcny Physicians PLLC Anesthesiology CurrentSince Jul 1, 2013 Accepting new patients
Chag Anesthesia PC Anesthesiology CurrentSince Jul 1, 2006 Accepting new patients
Syracuse ASC LLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Syracuse Anesthesia & Pain Management, PLLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Auburn Medical PC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Syracuse Endoscopy Associates, LLC PastSince Jul 21, 2024 Accepting new patients

Locations

4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300

225 Greenfield Pkwy
Ste 105
Liverpool, NY 13088
Phone (315) 451-6911

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

190 Intrepid Ln
Syracuse, NY 13205
Phone (315) 498-6200

3400 Vickery Rd
Syracuse, NY 13212
Phone (315) 422-3591

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

Interoperability endpoints

  • Direct secure messaging: esimiele28919@direct.upstate.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730134321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2005",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574505",
            "telephone_number": "315-362-5129",
            "fax_number": "315-362-5179"
        },
        {
            "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": "315-492-5522",
            "fax_number": "315-492-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMIELE",
        "first_name": "EILEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "239237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.