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DR. EYADEH MDANAT MD
NPI 1023688561
Internal Medicine in Ithaca, NY

Active since June 28, 2021PECOS Enrolled
905 HANSHAW RD, ITHACA, NY 14850(607) 277-2170 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2026, Aug 4, 2026, Jul 18, 2026 and 3 more (6 updates tracked since 2021).

About Dr. Eyadeh Mdanat Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EYADEH MDANAT MD (NPI 1023688561) is an individual internal medicine provider in Ithaca, New York, licensed in New York (342284) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023688561
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EYADEH MDANATCredential: MD
Location Address905 HANSHAW RDIthaca, NY 14850-1549
Mailing Address905 Hanshaw RdIthaca, NY 14850-1549
Phone(607) 277-2170
Sole ProprietorNo
Enumeration DateJune 28, 2021
Last NPPES UpdateAugust 13, 20266 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1023688561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 342284
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 342284 (NY)
905 HANSHAW RD, Ithaca, NY 14850
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eyadeh Mdanat Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ALISSON DANIELA ITURBURU ALTAMIRANO M.D.
Internal Medicine
905 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 277-2170
MR. WILLIAM LARSEN FNP
Nurse Practitioner (Family)
905 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 339-0670
DR. MOHAMMAD ALI SHAHAB MBBS
Psychiatry & Neurology (Neurology)
905 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 273-6757
IRINE SIRAJ MBBS
Psychiatry & Neurology (Neurology)
905 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 273-6757
MELISSA BRESENHAN CRNP
Nurse Practitioner
905 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 273-6757
SUSAN MCKERNAN MCKELVEY FNP
Nurse Practitioner (Family)
905 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 273-6757
ALAYNA EMILY BARTON PA-C
Physician Assistant (Surgical)
905 HANSHAW RD, SUITE A
ITHACA, NY 14850
Tompkins County (607) 269-0033
MR. ANURAG ARYAL MD
Internal Medicine
905 HANSHAW RD, SUITE C
ITHACA, NY 14850
Tompkins County (607) 277-2170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eyadeh Mdanat's NPI number?

The NPI number for Eyadeh Mdanat is 1023688561. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Eyadeh Mdanat located?

Eyadeh Mdanat practices at 905 Hanshaw Rd, Ithaca, NY 14850. The listed phone number is (607) 277-2170.

What is Eyadeh Mdanat's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Eyadeh Mdanat enrolled in Medicare?

Yes. Eyadeh Mdanat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eyadeh Mdanat was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.