Active NPI
Andrew C Schutrumpf, MD
- Internal Medicine Physician
- Ithaca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 184266
- Practice address
- 905 Hanshaw Rd Ste C
Ithaca, NY 14850-1549 - Phone
- (804) 387-2328
- Fax
- (607) 319-0492
- NPI assigned
- Apr 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101056695 | VA | |
| Internal Medicine Physician | 207R00000X | 184266 | NY | Primary |
Addresses
Primary practice location
905 Hanshaw Rd Ste C
Ithaca, NY 14850-1549
Mailing address
905 Hanshaw Rd Ste C
Ithaca, NY 14850-1549
Phone (804) 387-2328
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292573 | Other | VA | MAMSI |
| 110217727 | Other | VA | RAILROAD MEDICARE |
| 4902989 | Other | VA | CIGNA |
| 5569579 | Other | VA | AETNA LIFE |
| 43931 | Other | VA | SENTARA |
| C06689 | Other | VA | GROUP PTAN |
| 122921 | Other | VA | SOUTHERN HEALTH SERVICES |
| 228139 | Other | VA | ANTHEM BCBS OF VA |
| 5569579 | Other | VA | AETNA HMO |
| 010017033 | Medicaid | VA |
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
- Internal Medicine
- Education
- Virginia Commonwealth University, School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
905 Hanshaw Rd
Suite C
Ithaca, NY 14850-1549
Phone (607) 277-2170
Hospital & facility affiliations
- VNS Ithaca Tompkins Co Chha
- Cayuga Medical Center at Ithaca
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cayuga Medical Associates, PC | Internal Medicine | Current | Accepting new patients |
Locations
1301 Trumansburg Rd
Ste R
Ithaca, NY 14850
Phone (607) 272-7000
905 Hanshaw Rd
#C
Ithaca, NY 14850
Phone (607) 277-2170
310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100
Interoperability endpoints
- aschutrumpf27360@direct.xtensys.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
- Home Health Agency
- Ithaca, NY
- NPI 1447257928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1104889740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 HANSHAW RD STE C",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501549",
"telephone_number": "804-387-2328",
"fax_number": "607-319-0492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 HANSHAW RD STE C",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501549",
"telephone_number": "804-387-2328",
"fax_number": "607-319-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUTRUMPF",
"first_name": "ANDREW",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101056695",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "184266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "292573",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110217727",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4902989",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA LIFE",
"identifier": "5569579",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "43931",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06689",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH SERVICES",
"identifier": "122921",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF VA",
"identifier": "228139",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "5569579",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010017033",
"state": "VA"
}
],
"endpoints": [],
"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 Aug 4, 2023; 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.