Active NPI
Charles L Garbo, M.D.
- Hematology & Oncology Physician
- Ithaca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 190523-1
- Practice address
- 201 Harris B Dates Dr
Suite 102
Ithaca, NY 14850-1345 - Phone
- (607) 272-5414
- Fax
- (607) 272-6121
- NPI assigned
- Dec 18, 2006
- Last updated
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 190523-1 | NY | Primary |
Addresses
Primary practice location
201 Harris B Dates Dr
Suite 102
Ithaca, NY 14850-1345
Mailing address
201 Harris B Dates Dr
Suite 102
Ithaca, NY 14850-1345
Phone (607) 272-5414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01383971 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- University of Vermont College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4443
Hospital & facility affiliations
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190523-1 | NY | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cayuga Medical Center at Ithaca | Current | Accepting new patients | |
| Cayuga Pathology PLLC | Current | Accepting new patients | |
| Cayuga Medical Associates, PC | Current | Accepting new patients | |
| Cayuga Medical Center at Ithaca | Current | Accepting new patients | |
| Ithaca Medical Group, PLLC | Current | Accepting new patients |
Locations
101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011
1301 Trumansburg Rd
Ste P
Ithaca, NY 14850
Phone (607) 272-5414
201 Harris B Dates Dr
Ste 102
Ithaca, NY 14850
Phone (607) 272-5414
310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100
Interoperability endpoints
- cgarbo20518@direct.xtensys.com
- https://api.platform.athenahealth.com/14564/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
dba Cayuga Medical Center
- General Acute Care Hospital
- Ithaca, NY
- NPI 1164547303
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1962561951
-
dba Cayuga Employee Pharmacy
- Specialty Pharmacy
- Ithaca, NY
- NPI 1730596131
-
dba Excelsior Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Ithica, NY
- NPI 1427625508
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1942363346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 HARRIS B DATES DR",
"address_2": "SUITE 102",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501345",
"telephone_number": "607-272-5414",
"fax_number": "607-272-6121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HARRIS B DATES DR",
"address_2": "SUITE 102",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501345",
"telephone_number": "607-272-5414",
"fax_number": "607-272-6121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARBO",
"first_name": "CHARLES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "190523-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01383971",
"state": "NY"
}
],
"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 Oct 28, 2008; 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.