Individual provider Active NPI

Ayesha Tasaddaq, MD

  • Family Medicine Physician
  • Dansville, NY
National Provider Identifier
1972831782
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
258140 Issued in NY
Practice address
60 Red Jacket St
Suite 1
Dansville, NY 14437-0339
Phone
(585) 335-6041
Fax
(585) 335-6764
NPI assigned
Dec 7, 2009
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 258140 NY Primary

Addresses

Primary practice location

60 Red Jacket St
Suite 1
Dansville, NY 14437-0339

Mailing address

10869 Route 36
Dansville, NY 14437-9444
Phone (585) 335-3100

Other identifiers 1

IdentifierTypeStateIssuer
03252595MedicaidNY

Other names 1

  • Ayesha Riasat Former name

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
I20101112000053 NY Practitioner - Family Practice 7113112418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

60 Red Jacket St
Suite 1
Dansville, NY 14437-1769
Phone (585) 335-6041

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Family Medicine Program, Inc. Family Medicine CurrentSince Sep 1, 2010 Accepting new patients
Tri-County Family Medicine Program, Inc. CurrentSince Sep 1, 2010 Accepting new patients
Tri-County Family Medicine Program, Inc. Family Medicine Current Accepting new patients
Nicholas H. Noyes Memorial Hospital Past Accepting new patients

Locations

10869 State Route 36
Dansville, NY 14437
Phone (585) 335-3100

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

60 Red Jacket St
Ste 1
Dansville, NY 14437
Phone (585) 335-6041

Interoperability endpoints

  • Direct secure messaging: ayesha.tasaddaq@tfmpi.eclinicaldirectplus.com

Organizations & group practices 4

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 6

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": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1972831782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10869 ROUTE 36",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379444",
            "telephone_number": "585-335-3100",
            "fax_number": "585-335-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 RED JACKET ST",
            "address_2": "SUITE 1",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144370339",
            "telephone_number": "585-335-6041",
            "fax_number": "585-335-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASADDAQ",
        "first_name": "AYESHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "258140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03252595",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYESHA",
            "last_name": "RIASAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dansville, NY

Sources for this page

Verify at the official NPI Registry.