Individual provider Active NPI

John-Paul Daniel Mead, M.D.

  • Hospitalist Physician
  • Ithaca, NY
National Provider Identifier
1861498602
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
220490 Issued in NY
Practice address
101 Dates Dr
Ithaca, NY 14850-1342
Phone
(607) 274-4189
Fax
(607) 274-4198
NPI assigned
Jun 27, 2005
Last updated
May 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 220490-1 NY
Addiction Medicine (Internal Medicine) Physician 207RA0401X 220490 NY
Hospitalist Physician 208M00000X 220490 NY Primary

Addresses

Primary practice location

101 Dates Dr
Ithaca, NY 14850-1342

Mailing address

101 Dates Dr
Hospitalist Office
Ithaca, NY 14850
Phone (607) 252-3698

Other identifiers 1

IdentifierTypeStateIssuer
02161659MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112000094 NY Practitioner - Addiction MedicinePractitioner - Internal MedicinePractitioner - Hospitalist 4587628300 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Hospitalist, Internal Medicine
Education
New York University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians
John-Paul Mead, MD, PLLCGroup PAC ID 0840721452, 2 clinicians

Practice addresses (Care Compare)

101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296

103 W Seneca St
Suite 302
Ithaca, NY 14850-4145
Phone (607) 216-0532

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

63 Hickory Cir
Ithaca, NY 14850-9610

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220490-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Physician Health, P.C. Internal Medicine CurrentSince May 1, 2016 Accepting new patients
John-Paul Mead, M.D., PLLC Addiction Medicine CurrentSince Sep 1, 2024 Accepting new patients
Cayuga Medical Associates, PC Internal Medicine CurrentSince Oct 29, 2007 Accepting new patients
Schuyler Hospital Inc CurrentSince Oct 1, 2021 Accepting new patients
Schuyler Hospital Inc Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
St Josephs Medical PC Internal Medicine CurrentSince Oct 20, 2018 Accepting new patients
New York Em-III Medical Services, PC Internal Medicine Past Accepting new patients
Ithaca Alpha House Center, Inc. Past Accepting new patients
Cayuga Medical Center at Ithaca Past Accepting new patients

Locations

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

103 W Seneca St
Ste 302
Ithaca, NY 14850
Phone (607) 216-0532

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cayuga Medical Center at IthacaIthaca, NY, CCN 330307 Hospital Corporate Director Jan 1, 2023
Cayuga Medical Center at IthacaIthaca, NY, CCN 33U307 Hospital Corporate Director Jan 1, 2023
Cayuga Medical Center at IthacaIthaca, NY, CCN 33T307 Hospital Corporate Director Jan 1, 2023
XtensysMontour Falls, NY, CCN 335375 Skilled nursing facility Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1861498602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DATES DR",
            "address_2": "HOSPITALIST OFFICE",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-252-3698",
            "fax_number": "607-274-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DATES DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501342",
            "telephone_number": "607-274-4189",
            "fax_number": "607-274-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "JOHN-PAUL",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2024-05-02",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220490-1",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NY",
            "license": "220490",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "220490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02161659",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.