Individual provider Active NPI

Melissa Teneil Ayala, PA-C

  • Physician Assistant
  • PT Byron, NY
National Provider Identifier
1801125877
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017168 Issued in NY
Practice address
60 Main Street
PT. Byron, NY 13140
Phone
(315) 776-9700
Fax
(315) 776-9701
NPI assigned
Dec 21, 2009
Last updated
Nov 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3913 MA
Physician Assistant 363A00000X 017168 NY Primary

Addresses

Primary practice location

60 Main Street
PT. Byron, NY 13140

Mailing address

601B W Washington St
Geneva, NY 14456-2119
Phone (315) 781-8448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100430000403 MA Practitioner - Physician Assistant 4981739133 Reassigns benefits to 2 organizations
I20140728000515 NY Practitioner - Physician Assistant 4981739133 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reach Medical PLLCGroup PAC ID 8123381993, 10 clinicians

Practice addresses (Care Compare)

1001 W Seneca St
Ithaca, NY 14850-3342
Phone (607) 273-7000

402 N Cayuga St
Ithaca, NY 14850-4291
Phone (607) 273-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017168NYMDSpeech-Language Pathologist
PA3913MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Operations PC CurrentSince May 1, 2023 Accepting new patients
Syracuse Community Health Center CurrentSince Sep 19, 2016 Accepting new patients
Finger Lakes Community Health CurrentSince Jun 1, 2014 Accepting new patients
Cayuga Emergency Physicians, LLP CurrentSince May 5, 2018 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

75 Remit Dr
Chicago, IL 60675

50 Dodge St
Ste 104
Beverly, MA 01915
Phone (978) 922-2171

1129 Commons Ave
#C
Cortland, NY 13045
Phone (607) 339-0456

601B W Washington St
Geneva, NY 14456
Phone (315) 781-8448

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

819 S Salina St
Syracuse, NY 13202

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: melissa.ayala.1@17251.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1801125877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601B W WASHINGTON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562119",
            "telephone_number": "315-781-8448",
            "fax_number": "315-781-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAIN STREET",
            "city": "PT. BYRON",
            "state": "NY",
            "postal_code": "13140",
            "telephone_number": "315-776-9700",
            "fax_number": "315-776-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "MELISSA",
        "middle_name": "TENEIL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA3913",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in PT Byron, NY

Sources for this page

Verify at the official NPI Registry.