Active NPI
Brian Jeffrey Kramer
- Pediatrics Physician
- Ithaca, NY
National Provider Identifier
1639533664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 300038
- Practice address
- 10 Graham Rd W
Ithaca, NY 14850-1055 - Phone
- (607) 257-5958
- Fax
- (607) 266-7341
- NPI assigned
- Apr 6, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 300038 | NY | Primary |
Addresses
Primary practice location
10 Graham Rd W
Ithaca, NY 14850-1055
Mailing address
10 Graham Rd W
Ithaca, NY 14850-1055
Phone (607) 257-5958
Other practice location 1
1906 Belleview Ave SE
Carilion Clinic Roanoke Memorial Hospital,
Roanoke, VA 24014-1838
Phone (540) 981-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160827000057 | VA | Order and Referring Only - Pediatric Medicine | 5294020400 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cayuga Medical Center at Ithaca | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Northeast Pediatrics & Adolescent Medicine, LLP | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- briankramer@northeastpeds.medentdirect.com
- bkramer@hiemail.healtheconnections.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
- Pediatrics Physician
- Ithaca, NY
- NPI 1184724189
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1639533664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 GRAHAM RD W",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501055",
"telephone_number": "607-257-5958",
"fax_number": "607-266-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GRAHAM RD W",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501055",
"telephone_number": "607-257-5958",
"fax_number": "607-266-7341"
}
],
"practiceLocations": [
{
"address_1": "1906 Belleview Ave SE",
"address_2": "Carilion Clinic Roanoke Memorial Hospital,",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240141838",
"country_code": "US",
"telephone_number": "540-981-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAMER",
"first_name": "BRIAN",
"middle_name": "JEFFREY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-06",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "300038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 16, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.