Ali Etemad-Rezaie, MD, MS, FRCSC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

334214-01 Issued in NY

Practice address

1 Atwell Rd
Cooperstown, NY 13326-1301

Phone

(607) 282-2003

NPI assigned

Jun 13, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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

Orthopedic Surgery

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136
• Aurelia Osborn Fox Memorial Hospital Hospital, Oneonta, NY, CCN 330085
• Cobleskill Regional Hospital Hospital, Cobleskill, NY, CCN 331320

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aetemadrezaie569347@bassett.direct-ci.net

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.

• Mary Imogene Bassett Hospital

  dba Bassett Medical Center

  • Multi-Specialty Clinic/Center
  • Cooperstown, NY
  • NPI 1083664221
  Medicare reassignment Care Compare group NPD
• Mary Imogene Bassett Hospital

  dba FoxCare Pharmacy

  • Specialty Pharmacy
  • Oneonta, NY
  • NPI 1174419196
  NPD

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

• Aurelia Osborn Fox Memorial Hospital Society

  • General Acute Care Hospital
  • Oneonta, NY
  • NPI 1578529954
  Care Compare affiliation
• Bassett Hospital of Schoharie County

  • Critical Access Hospital
  • Cobleskill, NY
  • NPI 1689741985
  Care Compare affiliation
• Bassett Hospital of Schoharie County

  • Critical Access Hospital
  • Cobleskill, NY
  • NPI 1891862579
  Care Compare affiliation
• Mary Imogene Bassett Hospital

  dba Bassett Healthcare

  • Rural Acute Care Hospital
  • Cooperstown, NY
  • NPI 1780600577
  Care Compare affiliation

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1679316277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-282-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-282-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Associate Dr Unit 1",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "NY",
            "postal_code": "138202266",
            "country_code": "US",
            "telephone_number": "607-282-2003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Norton Ave",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "NY",
            "postal_code": "138202629",
            "country_code": "US",
            "telephone_number": "607-282-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETEMAD-REZAIE",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD, MS, FRCSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-13",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "334214-01",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "4301510967",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "334214-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rakel Emma-Okah, MD
• Teri E Engelberg, MD
• Dennis Enright, C.R.N.A.
• Nicole Patricia Eror, CDCES
• Chidimma Uwe Esu
• Matthew K. Fairbank, RPA-C
• Panisara Fangsaard
• David A Fanion, M.D.
• Deborah Lee Faoro-Rodrigues, RD
• Mary Farrell, PMHNP

• Sports Medicine (Orthopaedic Surgery) Physician in Cooperstown, NY
• Providers in Cooperstown, NY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2025; 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.