Individual provider Active NPI

Iga Ntheketha, NP

  • Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1114511664
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
345913 Issued in NY
Practice address
125 Lattimore Rd Ste G110
Rochester, NY 14620-4100
Phone
(585) 486-0901
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 345913 NY Primary

Addresses

Primary practice location

125 Lattimore Rd Ste G110
Rochester, NY 14620-4100

Mailing address

PO Box 7411009
Chicago, IL 60674-3009
Phone (609) 585-1122

Other practice location 1

918 James St
Syracuse, NY 13203-2503
Phone (609) 585-1122

Other practice location 2

525 Beahan Rd
Rochester, NY 14624-3403
Phone (609) 585-1122

Other practice location 3

200 7th St
Buffalo, NY 14201-2161
Phone (609) 585-1122

Other practice location 4

5 Church st
Spencerport, NY 14559-1343
Phone (609) 585-1122

Other practice location 5

7009 Rumsey Street Ext
Bath, NY 14810-7827
Phone (609) 585-1122

Other practice location 6

1335 Portland Ave
Rochester, NY 14621-2706
Phone (609) 585-1122

Other practice location 7

210 N Main St
Canandaigua, NY 14424-1235
Phone (609) 585-1122

Other practice location 8

2150 Saint Paul St
Rochester, NY 14621-1415
Phone (609) 585-1122

Other practice location 9

205 E 1st St
Corning, NY 14830-2809
Phone (609) 585-1122

Other identifiers 1

IdentifierTypeStateIssuer
06471970MedicaidNY

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
I20210325000798 NY Practitioner - Nurse Practitioner 3072920792 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy - Immunology - Rheumatology Clinical GroupGroup PAC ID 8820074065, 27 clinicians
First Docs PCGroup PAC ID 0547626871, 181 clinicians

Practice addresses (Care Compare)

125 Lattimore Rd
Suite G110
Rochester, NY 14620-4100
Phone (585) 486-0930

200 7TH St
Buffalo, NY 14201-2161
Phone (716) 847-2500

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
345913NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy - Immunology - Rheumatology Clinical Group CurrentSince Apr 19, 2021 Accepting new patients
University of Rochester CurrentSince Apr 19, 2021 Accepting new patients
New York General Medical Services PC CurrentSince Sep 2, 2025 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester CurrentSince Apr 19, 2021 Accepting new patients
University of Rochester Current Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 2, 2025 Accepting new patients
First Docs PC CurrentSince Jun 1, 2024 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
NV Pacs 2 LLC CurrentSince Sep 2, 2025 Accepting new patients
Mercer Bucks Medical Associates, P.C. CurrentSince Jan 2, 2025 Accepting new patients

Locations

7009 Rumsey Street Ext
Bath, NY 14810
Phone (607) 776-7651

200 7th St
Buffalo, NY 14201
Phone (716) 847-2500

205 E 1st St
Corning, NY 14830
Phone (607) 654-2400

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

525 Beahan Rd
Rochester, NY 14624
Phone (585) 247-7880

400 Red Creek Dr
Ste 110
Rochester, NY 14623
Phone (585) 486-0147

125 Lattimore Rd
Ste G110
Rochester, NY 14620
Phone (585) 275-2691

1335 Portland Ave
Rochester, NY 14621
Phone (585) 544-4000

2150 Saint Paul St
Rochester, NY 14621
Phone (585) 342-5540

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

101 Theall Rd
Rye, NY 10580
Phone (516) 536-0800

5 Church St
Spencerport, NY 14559
Phone (585) 352-4810

700 E Brighton Ave
Syracuse, NY 13205
Phone (315) 469-5570

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1114511664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411009",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606743009",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LATTIMORE RD STE G110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204100",
            "telephone_number": "585-486-0901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "918 James St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132032503",
            "country_code": "US",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Beahan Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146243403",
            "country_code": "US",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 7th St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142012161",
            "country_code": "US",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Church st",
            "address_purpose": "LOCATION",
            "city": "Spencerport",
            "state": "NY",
            "postal_code": "145591343",
            "country_code": "US",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7009 Rumsey Street Ext",
            "address_purpose": "LOCATION",
            "city": "Bath",
            "state": "NY",
            "postal_code": "148107827",
            "country_code": "US",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1335 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146212706",
            "country_code": "US",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 N Main St",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144241235",
            "country_code": "US",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 Saint Paul St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146211415",
            "country_code": "US",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "NY",
            "postal_code": "148302809",
            "country_code": "US",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NTHEKETHA",
        "first_name": "IGA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "345913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06471970",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.