NPIMap

Organization Active NPI

Ithaca Medical Services PLLC

  • Family Medicine Physician
  • Ithaca, NY
National Provider Identifier
1164166559
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ITHACA MEDICAL SERVICES PLLC
Practice address
953 Danby Rd
Ithaca, NY 14850-7000
Phone
(607) 882-0010
NPI assigned
Apr 22, 2022
Last updated
Apr 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CAYUGA MEDICAL ASSOCIATES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Kathy Hatfield
Title
Reimbursement Manager
Phone
(607) 822-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

953 Danby Rd
Ithaca, NY 14850-7000

Mailing address

1301 Trumansburg Rd Ste B
Ithaca, NY 14850-1397
Phone (607) 882-0010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CMAINFO@cayugamedicalassociates.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220919001604 NY Part B Supplier - Clinic/Group Practice 2961887583 Receives reassigned benefits from 22 practitioners
Practice locations: Ithaca, NY

National Provider Directory

National Provider Directory
Part of
Cayuga Medical Associates

Interoperability endpoints

  • Direct secure messaging: cmainfo@cayugamedicalassociates.org

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1164166559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 TRUMANSBURG RD STE B",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501397",
            "telephone_number": "607-882-0010",
            "fax_number": "607-277-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 DANBY RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148507000",
            "telephone_number": "607-882-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITHACA MEDICAL SERVICES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAYUGA MEDICAL ASSOCIATES, PC",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "607-822-0010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CMAINFO@cayugamedicalassociates.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "953 Danby Rd",
            "city": "Ithaca",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148507000",
            "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 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.