Active NPI
Reza Golestani, MD
- Anatomic Pathology & Clinical Pathology Physician
- Ithaca, NY
National Provider Identifier
1316300809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 67181
- Practice address
- 101 Dates Dr
Ithaca, NY 14850-1342 - Phone
- (607) 274-4474
- Fax
- (207) 777-1439
- NPI assigned
- Apr 1, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 67181 | CT | Primary |
Addresses
Primary practice location
101 Dates Dr
Ithaca, NY 14850-1342
Mailing address
PO Box 10806
Albany, NY 12201-5806
Phone (207) 784-2554
Other practice location 1
310 Cedar St Dept Of
New Haven, CT 06510-3218
Phone (203) 812-9343
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA | Direct |
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
- Pathology
- Education
- Other, 2005
- 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) 274-4474
Hospital & facility affiliations
- Cayuga Medical Center at Ithaca
- Schuyler Hospital
- Arnot Ogden Medical Center
- Guthrie Cortland Regional Medical Center
- Ira Davenport Memorial Hospital
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cayuga Pathology PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011
Interoperability endpoints
- rgolestani27786@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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Ithica, NY
- NPI 1427625508
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
- General Acute Care Hospital
- Cortland, NY
- NPI 1740287531
-
- Rural Acute Care Hospital
- Bath, NY
- NPI 1306930318
-
- Critical Access Hospital
- Montour Falls, NY
- NPI 1639150477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1316300809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10806",
"city": "ALBANY",
"state": "NY",
"postal_code": "122015806",
"telephone_number": "207-784-2554",
"fax_number": "207-777-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DATES DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501342",
"telephone_number": "607-274-4474",
"fax_number": "207-777-1439"
}
],
"practiceLocations": [
{
"address_1": "310 Cedar St Dept Of",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103218",
"country_code": "US",
"telephone_number": "203-812-9343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLESTANI",
"first_name": "REZA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-01",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CT",
"license": "67181",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "310 Cedar St Dept Of",
"city": "New Haven",
"state": "CT",
"country_code": "US",
"postal_code": "065103218",
"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 Mar 5, 2024; 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.