Individual provider Active NPI

Andreia Pereira De Lima, MD

  • Hospitalist Physician
  • Ithaca, NY
National Provider Identifier
1376733329
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
003445 Issued in NY
Practice address
101 Dates Dr
Hospitalist Dept
Ithaca, NY 14850-1342
Phone
(607) 274-4296
Fax
(607) 274-4198
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 003445 NY
Hospitalist Physician 208M00000X 003445 NY Primary

Addresses

Primary practice location

101 Dates Dr
Hospitalist Dept
Ithaca, NY 14850-1342

Mailing address

101 Dates Dr
Hospitalist Dept
Ithaca, NY 14850-1342
Phone (607) 274-4296

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091230000555 NY Practitioner - HospitalistPractitioner - Internal Medicine 2365583192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003445NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler Hospital Inc Internal Medicine CurrentSince Oct 20, 2021 Accepting new patients
Cayuga Medical Associates, PC Internal Medicine CurrentSince Nov 23, 2009 Accepting new patients
Schuyler Hospital Inc CurrentSince Oct 20, 2021 Accepting new patients
Ithaca Medical Services PLLC PastSince Aug 1, 2022 Accepting new patients

Locations

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121

Interoperability endpoints

  • Direct secure messaging: adelima19806@direct.xtensys.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1376733329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DATES DR",
            "address_2": "HOSPITALIST DEPT",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501342",
            "telephone_number": "607-274-4296",
            "fax_number": "607-274-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DATES DR",
            "address_2": "HOSPITALIST DEPT",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501342",
            "telephone_number": "607-274-4296",
            "fax_number": "607-274-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LIMA",
        "first_name": "ANDREIA",
        "middle_name": "PEREIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "003445",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "003445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.