Individual provider Active NPI

Wafaa I Rizk, M.D.

  • Internal Medicine Physician
  • Elmira, NY
National Provider Identifier
1861542813
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212170 Issued in NY
Practice address
602 Ivy St
Elmira, NY 14905-1646
Phone
(607) 735-4633
Fax
(607) 735-4628
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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 212170 NY Primary

Addresses

Primary practice location

602 Ivy St
Elmira, NY 14905-1646

Mailing address

571 Saint Josephs Blvd
FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050

Other identifiers 1

IdentifierTypeStateIssuer
01881763MedicaidNY

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
I20100827000477 NY Practitioner - Internal Medicine 0244354256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians

Practice addresses (Care Compare)

602 Ivy St
FL 2
Elmira, NY 14905-1646
Phone (607) 735-4633

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Corning, NY, CCN 337292
  • Carefirst / Southern Tier Hospice and Palliative Hospice, Painted Post, NY, CCN 331513
  • Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
46.76
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arnot Ogden Medical Center CurrentSince Dec 17, 2018 Accepting new patients
Arnot Ogden Medical Center CurrentSince Dec 17, 2018 Accepting new patients
Arnot Medical Services PLLC Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
TTPM, Inc Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
Chemung Medical Services PC Internal Medicine Past Accepting new patients

Locations

602 Ivy St
Fl 2
Elmira, NY 14905
Phone (607) 735-4633

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

602 Ivy St
Elmira, NY 14905
Phone (607) 735-4633

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

100 John Roemmelt Dr
Ste 301
Horseheads, NY 14845
Phone (607) 739-0352

Interoperability endpoints

  • Direct secure messaging: wafaa.rizk@arn.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1861542813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD",
            "address_2": "FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050",
            "fax_number": "607-271-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 IVY ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051646",
            "telephone_number": "607-735-4633",
            "fax_number": "607-735-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZK",
        "first_name": "WAFAA",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01881763",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.