Active NPI
Heather Dirienzo, PA-C
- Physician Assistant
- Ithaca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 025829
- Practice address
- 401 Cayuga Park LN
Ithaca, NY 14850-1180 - Phone
- (607) 319-5900
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 025829 | NY | Primary |
Addresses
Primary practice location
401 Cayuga Park LN
Ithaca, NY 14850-1180
Mailing address
401 Cayuga Park LN
Ithaca, NY 14850-1180
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1438 Western Ave
Albany, NY 12203-3421
Phone (518) 649-9986
1708 Altamount Ave
Schenectady, NY 12303-2137
Phone (518) 344-4778
445 Balltown Rd
Suite 1
Schenectady, NY 12304-2269
Phone (518) 387-3566
573 N Greenbush Rd
Rensselaer, NY 12144-9451
Phone (518) 268-2345
7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064
800 New Loudon Rd
Suite 1400
Latham, NY 12110-3900
Phone (518) 218-4200
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 82.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
- Emergency Medicine Physician
- Ithaca, NY
- NPI 1962985564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1760010169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CAYUGA PARK LN",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CAYUGA PARK LN",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501180",
"telephone_number": "607-319-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIRIENZO",
"first_name": "HEATHER",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NY",
"license": "025829",
"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 May 14, 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.