Active NPI
David Eric Ristedt, M.D.
- Family Medicine Physician
- Ithaca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 299640
- Practice address
- 1780 Hanshaw Rd
Ithaca, NY 14850-9105 - Phone
- (607) 257-5858
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 299640 | NY | Primary |
Addresses
Primary practice location
1780 Hanshaw Rd
Ithaca, NY 14850-9105
Mailing address
1780 Hanshaw Rd
Ithaca, NY 14850-9105
Phone (607) 257-5858
Other practice location 1
54 Main St
Candor, NY 13743
Phone (607) 659-7272
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dristedt145825@direct-guthrie.org | Direct | |
| Direct Messaging Address | dristedt145825@direct-guthrie.org | Direct | |
| Direct Messaging Address | dristedt145825@direct-guthrie.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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
510 S 4TH St
Suite 2
Fulton, NY 13069-2952
Phone (315) 592-3510
54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port City Emergency Physicians LLP | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Family Medicine | Current | Accepting new patients |
| Port City Emergency Physicians LLP | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
510 S 4th St
Ste 2
Fulton, NY 13069
Phone (315) 592-3510
1780 Hanshaw Rd
Ithaca, NY 14850
Phone (607) 257-5858
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Oswego, NY
- NPI 1134370547
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Emergency Medicine Physician
- Hamilton, NY
- NPI 1316395460
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1053483974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 HANSHAW RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148509105",
"telephone_number": "607-257-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 HANSHAW RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148509105",
"telephone_number": "607-257-5858"
}
],
"practiceLocations": [
{
"address_1": "54 Main St",
"address_purpose": "LOCATION",
"city": "Candor",
"state": "NY",
"postal_code": "13743",
"country_code": "US",
"telephone_number": "607-659-7272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RISTEDT",
"first_name": "DAVID",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "299640",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dristedt145825@direct-guthrie.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1780 Hanshaw Rd",
"city": "Ithaca",
"state": "NY",
"country_code": "US",
"postal_code": "148509105",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dristedt145825@direct-guthrie.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1780 Hanshaw Rd",
"city": "Ithaca",
"state": "NY",
"country_code": "US",
"postal_code": "148509105",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dristedt145825@direct-guthrie.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1780 Hanshaw Rd",
"city": "Ithaca",
"state": "NY",
"country_code": "US",
"postal_code": "148509105",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.