Active NPI
Shah Bano
- Student in an Organized Health Care Education/Training Program
- Ithaca, NY
National Provider Identifier
1952196735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 101 Dates Drive, Ithaca Ny 14850,Cayuga Medical Center
Ithaca, NY 14850 - Phone
- (607) 252-3457
- NPI assigned
- Apr 11, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
101 Dates Drive, Ithaca Ny 14850,Cayuga Medical Center
Ithaca, NY 14850
Mailing address
101 Dates Drive, Ithaca Ny 14850, Internal Medicine Res
Ithaca, NY 14850
Phone (607) 252-3457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1952196735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DATES DRIVE, ITHACA NY 14850, INTERNAL MEDICINE RES",
"city": "ITHACA",
"state": "NY",
"postal_code": "14850",
"telephone_number": "607-252-3457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DATES DRIVE, ITHACA NY 14850,CAYUGA MEDICAL CENTER",
"city": "ITHACA",
"state": "NY",
"postal_code": "14850",
"telephone_number": "607-252-3457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANO",
"first_name": "SHAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-11",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"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 Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.