Sujithraj Dommaraju, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

317804 Issued in NY

Practice address

905 Hanshaw Rd Ste C
Ithaca, NY 14850-1549

Phone

(607) 277-2170

NPI assigned

May 9, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• VNS Ithaca Tompkins Co Chha Home health agency, Ithaca, NY, CCN 337212
• Hospicare & Palliative Care Services Hospice, Ithaca, NY, CCN 331512
• Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307
• Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
• Schuyler Hospital Hospital, Montour Falls, NY, CCN 331313

Merit-based Incentive Payment System (MIPS)

Final score

94.27 of 100Reported as apm

Quality

82.87

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdommaraju20412@direct.xtensys.com

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.

• Cayuga Medical Associates, PC

  • Internal Medicine Physician
  • Ithaca, NY
  • NPI 1679525455
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arnot Ogden Medical Center

  • General Acute Care Hospital
  • Elmira, NY
  • NPI 1083605661
  Care Compare affiliation
• Cayuga Medical Center at Ithaca

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1962422733
  Care Compare affiliation
• Hospicare and Palliative Care Services of Tompkins County, Inc.

  • Community Based Hospice Care Agency
  • Ithaca, NY
  • NPI 1730185737
  Care Compare affiliation
• Schuyler Hospital Inc

  • Critical Access Hospital
  • Montour Falls, NY
  • NPI 1639150477
  Care Compare affiliation
• Visiting Nurse Service of Ithaca and Tompkins County Inc

  • Home Health Agency
  • Ithaca, NY
  • NPI 1447257928
  Care Compare affiliation

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1497310031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HANSHAW RD STE C",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501549",
            "telephone_number": "607-277-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HANSHAW RD STE C",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501549",
            "telephone_number": "607-277-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMMARAJU",
        "first_name": "SUJITHRAJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT217289",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "317804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey L Doane
• Peter Dodge, LMSW
• Beverly Dodici, PHD
• Jules Doliscar
• Angelina M Domena
• Shion Donahue, PA-C
• Benjamin Francis Donohue, M.D.
• Sam J Donovan, LMT
• Vanessa Claire Doucette
• Kathryn Marie Downey, PHARMD

• Internal Medicine Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.