Individual provider Active NPI

Farla Jean-Louis, MD

  • Cardiovascular Disease Physician
  • Ithaca, NY
National Provider Identifier
1386120657
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
328322 Issued in NY
Practice address
101 Dates Dr
Ithaca, NY 14850-1383
Phone
(607) 274-4011
NPI assigned
Jul 19, 2018
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 328322 NY Primary

Addresses

Primary practice location

101 Dates Dr
Ithaca, NY 14850-1383

Mailing address

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6000

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
I20240828005145 NY Practitioner - Cardiovascular Disease (Cardiology) 3971042318 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians
Schuyler Hospital IncGroup PAC ID 3577548262, shared by 6 NPIs, 41 clinicians

Practice addresses (Care Compare)

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

1113 Nys Rte
Suite 13
Cortland, NY 13045-3542
Phone (607) 428-8004

201 Dates Dr
Ithaca, NY 14850-1345

220 Steuben St
Montour Falls, NY 14865-9740
Phone 607535863952353

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

40 Catherwood Rd
Ithaca, NY 14850-1056
Phone (607) 272-0460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
328322NYMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ithaca Medical Services PLLC CurrentSince Sep 2, 2024 Accepting new patients
Schuyler Hospital Inc CurrentSince Jan 26, 2026 Accepting new patients
Cayuga Medical Associates, PC Cardiovascular Disease CurrentSince Sep 2, 2024 Accepting new patients
Schuyler Hospital Inc CurrentSince Sep 2, 2024 Accepting new patients
Schuyler Hospital Inc CurrentSince Sep 2, 2024 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: fjeanlouis27156@direct.xtensys.com

Organizations & group practices 5

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 5

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1386120657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DATES DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501383",
            "telephone_number": "607-274-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-LOUIS",
        "first_name": "FARLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "328322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.