Individual provider Active NPI

Tali Reeis-Martin, M.D

  • Internal Medicine Physician
  • Cortland, NY
National Provider Identifier
1669631461
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
256048 Issued in NY
Practice address
134 Homer Ave
Cortland, NY 13045-1206
Phone
(607) 428-5074
Fax
(607) 758-8210
NPI assigned
Jun 5, 2008
Last updated
Mar 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 256048 NY Primary

Addresses

Primary practice location

134 Homer Ave
Cortland, NY 13045-1206

Mailing address

161 Riverside Dr
Suite 306
Binghamton, NY 13905-4176
Phone (607) 798-6700

Other practice location 1

134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 428-5074

Other identifiers 1

IdentifierTypeStateIssuer
03186629MedicaidNY

Other names 1

  • Tali Martin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110425000649 NY Practitioner - HospitalistPractitioner - Internal Medicine 6204011869 Reassigns benefits to 4 organizations
I20210310002007 PA Practitioner - HospitalistPractitioner - Internal Medicine 6204011869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Medical Care PCGroup PAC ID 7315836780, 152 clinicians

Practice addresses (Care Compare)

169 Riveride Dr
Binghamton, NY 13905-4246
Phone (607) 798-5671

565 Abbott Rd
RM 8 632
Buffalo, NY 14220-2039
Phone (716) 828-2434

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Dec 4, 2020 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Internal Medicine CurrentSince Feb 25, 2010 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Oct 3, 2020 Accepting new patients
Adam Nadelson MD PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Guthrie Medical Group, P.C. Internal Medicine CurrentSince Oct 3, 2020 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Current Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Feb 25, 2010 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients

Locations

161 Riverside Dr
Ste 306
Binghamton, NY 13905
Phone (607) 798-6700

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

39 E Main St
Hancock, NY 13783
Phone (607) 637-5700

53 W 36th St
Rm 204
New York, NY 10018
Phone (212) 500-2163

2000 N Village Ave
Ste 211
Rockville Ctr, NY 11570
Phone (516) 764-1303

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: treeismartin127972@direct-guthrie.org

Organizations & group practices 10

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 1

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1669631461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 RIVERSIDE DR",
            "address_2": "SUITE 306",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054176",
            "telephone_number": "607-798-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HOMER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451206",
            "telephone_number": "607-428-5074",
            "fax_number": "607-758-8210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Homer Ave",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130451206",
            "country_code": "US",
            "telephone_number": "607-428-5074",
            "fax_number": "607-758-8210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEIS-MARTIN",
        "first_name": "TALI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "256048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03186629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALI",
            "last_name": "MARTIN",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.