Individual provider Active NPI

Ian D Cole, MD

  • Physical Medicine & Rehabilitation Physician
  • Williamsport, PA
National Provider Identifier
1265566335
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD451291 Issued in PA
Practice address
700 High St
Williamsport, PA 17701-3100
Phone
(570) 321-2619
Fax
(570) 321-2670
NPI assigned
Mar 14, 2007
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 219401 NY
Physical Medicine & Rehabilitation Physician 208100000X 50306 WI
Physical Medicine & Rehabilitation Physician 208100000X 28999 NE
Physical Medicine & Rehabilitation Physician 208100000X MD451291 PA Primary

Addresses

Primary practice location

700 High St
Williamsport, PA 17701-3100

Mailing address

1201 Grampian Blvd
Suite 1K
Williamsport, PA 17701-1900

Other practice location 1

6119 US Highway 11
Canton, NY 13617-3991
Phone (315) 714-3350

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address icole340082@direct.rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050810001099 NY Practitioner - Medical OncologyPractitioner - Physical Medicine and Rehabilitation 6305875261 Reassigns benefits to 2 organizations
I20070515000258 WI Practitioner - Physical Medicine and Rehabilitation 6305875261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
State University of New York Downstate Medical Center, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians

Practice addresses (Care Compare)

6119 US Hwy 11
Canton, NY 13617-3991
Phone (315) 265-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.56 of 100Reported as apm
Quality
87.76
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28999NEMDPhysical Medicine & Rehabilitation Physician
50306WIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Physical Medicine & Rehabilitation CurrentSince May 17, 2021 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jun 14, 2021 Accepting new patients
Montefiore Medical Center CurrentSince May 17, 2021 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jun 14, 2021 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince May 21, 2015 Accepting new patients
Intermountain Front Range, Inc. Past Accepting new patients
Red Rocks Center for Rehabilitation Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

6119 US Highway 11
Canton, NY 13617
Phone (315) 261-5810

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

3811 Spring St
#102
Mount Pleasant, WI 53405
Phone (262) 687-5800

3811 Spring St
Ste 102
Mount Pleasant, WI 53405
Phone (262) 687-5800

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: icole340082@direct.rochesterregional.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1265566335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "address_2": "SUITE 1K",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013100",
            "telephone_number": "570-321-2619",
            "fax_number": "570-321-2670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6119 US Highway 11",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "136173991",
            "country_code": "US",
            "telephone_number": "315-714-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "IAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "219401",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "50306",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NE",
            "license": "28999",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD451291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "icole340082@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "6119 US Highway 11",
            "city": "Canton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136173991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.