Active NPI
Ryan Reno Dirienzo, PA-C
- Physician Assistant
- Ithaca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 025842-01
- Practice address
- 16 Brentwood Dr
Ithaca, NY 14850-1863 - Phone
- (607) 272-7000
- NPI assigned
- Apr 1, 2020
- Last updated
- Nov 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 025842-01 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
16 Brentwood Dr
Ithaca, NY 14850-1863
Mailing address
1 Eldorado Dr Apt D
Trumansburg, NY 14886-9333
Phone (860) 543-5528
Other practice location 1
3 Powder Mill Ln
North Granby, CT 06060-1216
Phone (860) 413-9048
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296
1367 Washington Ave
Suite 200
Albany, NY 12206-1043
Phone (518) 489-2666
16 Brentwood Dr
Ithaca, NY 14850-1863
Phone (607) 277-2179
310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 82.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025842-01 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schuyler Hospital Inc | Current | Accepting new patients | |
| Schuyler Hospital Inc | Single Specialty | Current | Accepting new patients |
| Capital Region Orthopaedic Associates, PC | Single Specialty | Current | Accepting new patients |
Locations
1367 Washington Ave
Ste 200
Albany, NY 12206
Phone (518) 489-2666
220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121
Interoperability endpoints
- rdirienzo27550@direct.xtensys.com
- ryan.dirienzo.1@28317.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Albany, NY
- NPI 1871533216
Single Specialty
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
- Medicare Defined Swing Bed Hospital Unit
- Montour Falls, NY
- NPI 1740364181
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1205464344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ELDORADO DR APT D",
"city": "TRUMANSBURG",
"state": "NY",
"postal_code": "148869333",
"telephone_number": "860-543-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 BRENTWOOD DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501863",
"telephone_number": "607-272-7000"
}
],
"practiceLocations": [
{
"address_1": "3 Powder Mill Ln",
"address_purpose": "LOCATION",
"city": "North Granby",
"state": "CT",
"postal_code": "060601216",
"country_code": "US",
"telephone_number": "860-413-9048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIRIENZO",
"first_name": "RYAN",
"middle_name": "RENO",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-01",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "025842-01",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Nov 12, 2020; 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.