CAYUGA MEDICAL CENTER AT ITHACA
NPI 1164547303
General Acute Care Hospital in Ithaca, NY

Active since March 20, 2007CLIA Certified · 2 labs
101 DATES DR, ITHACA, NY 14850(607) 274-4011(607) 274-4527 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cayuga Medical Center At Ithaca NPPES

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

CAYUGA MEDICAL CENTER AT ITHACA (NPI 1164547303), doing business as Cayuga Medical Center, is a healthcare organization registered as a general acute care hospital in Ithaca, New York and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Rebecca Gould, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164547303
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameCAYUGA MEDICAL CENTER AT ITHACA
Location Address101 DATES DRIthaca, NY 14850-1342
Mailing Address101 Dates DrIthaca, NY 14850-1342 · (607) 274-4011 · Fax (607) 274-4527
Fax(607) 274-4527
Organization SubpartNo
Authorized OfficialRebecca GouldCfo · (607) 274-4011
Enumeration DateMarch 20, 2007
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1164547303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in NY · 5401001H
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
101 DATES DR, Ithaca, NY 14850

Other Names 1

Doing Business AsCayuga Medical Center

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cayuga Medical Center At Ithaca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20050304000341Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

55

Medicare enrollment records show 55 clinicians reassign Medicare billing to Cayuga Medical Center At Ithaca, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner15
Psychiatry14
Hematology/Oncology5
Urology5
Medical Oncology4
Sports Medicine4
General Surgery2
Rheumatology2
4 other specialties4

Nearest to this location (20)

See all 55
Hematology/Oncology
NPI 1669902862
101 DATES DR # 102
Ithaca, NY 14850
(607) 272-5414
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1578667960
101 DATES DR
Ithaca, NY 14850
(607) 272-5414
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265130967
101 HARRIS B DATES DR
Ithaca, NY 14850
(607) 252-3248
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033744891
101 DATES DR
Ithaca, NY 14850
(607) 274-4011
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1689649980
101 DATES DR CAYUGA MEDICAL CENTER AT ITHACA
Ithaca, NY 14850
(607) 274-4623
✔ PECOSSame address
Psychiatry
NPI 1033644406
101 DATES DR
Ithaca, NY 14850
(607) 274-4011
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1740318856
101 DATES DR
Ithaca, NY 14850
(607) 274-4304
✔ PECOSSame address
Nurse Practitioner
NPI 1972608990
101 DATES DR
Ithaca, NY 14850
(607) 274-4287
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659890465
101 DATES DR
Ithaca, NY 14850
(607) 277-2365
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932581063
101 DATES DR SUITE 102
Ithaca, NY 14850
(607) 272-5414
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1851557615
101 DATES DR
Ithaca, NY 14850
(607) 274-4060
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1710372867
101 DATES DR
Ithaca, NY 14850
(607) 274-4011
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1982023784
201 HARRIS B DATES DR STE 102
Ithaca, NY 14850
(607) 272-5414
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology/Oncology
NPI 1376605501
201 HARRIS B DATES DR SUITE 102
Ithaca, NY 14850
(607) 272-5414
✔ PECOS✔ Accepts Medicare0.1 mi
Endocrinology
NPI 1639394323
201 DATES DR
Ithaca, NY 14850
(607) 257-5858
✔ PECOS✔ Accepts Medicare0.1 mi
Medical Oncology
NPI 1942363346
201 HARRIS B DATES DR SUITE 102
Ithaca, NY 14850
(607) 272-5414
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1992943153
1301 TRUMANSBURG RD SUITE E
Ithaca, NY 14850
(607) 273-3161
✔ PECOS✔ Accepts Medicare0.2 mi
Rheumatology
NPI 1891725396
1301 TRUMANSBURG ROAD SUITE R
Ithaca, NY 14850
(607) 277-2710
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1821090036
1301 TRUMANSBURG RD STE E
Ithaca, NY 14850
(607) 273-3161
✔ PECOS✔ Accepts Medicare0.2 mi
Hematology/Oncology
NPI 1053473983
401 CAYUGA PARK LN STE 300
Ithaca, NY 14850
(607) 272-5414
✔ PECOS✔ Accepts Medicare2.2 mi
See all 55 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0010445

Cayuga Medical Center At Ithaca · Ithaca, NY
Active · expires Mar 26, 2027
CLIA Number33D0010445
Laboratory TypeHospital
Certificate Effective DateAugust 28, 1995
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Elizabeth F. Plocharczyk
Laboratory Phone(607) 274-4474
Laboratory LocationCayuga Medical Center At Ithaca101 Dates Drive, Ithaca, NY 14850
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 33D2280862

Cayuga Medical Center Surgicare · Ithaca, NY
Active · expires Mar 26, 2027
CLIA Number33D2280862
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 27, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Elizabeth F. Plocharczyk
Laboratory Phone(607) 274-4474
Laboratory LocationCayuga Medical Center Surgicare10 Arrowwood Dr, Ithaca, NY 14850
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Cayuga Employee Pharmacy carries, from the Medicare DMEPOS supplier directory.

Cayuga Employee Pharmacy

DMEPOS supplier · Ithaca, NYOperated by Cayuga Medical Center At Ithaca
✔

Accepts Medicare assignment

Cayuga Employee Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20678561
Medicare Participant SinceOctober 1, 1984
Supplier Location101 Dates Dr Fl 2Ithaca, NY 14850
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Cayuga Medical Center At Ithaca's NPI number?

The NPI number for Cayuga Medical Center At Ithaca is 1164547303. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Cayuga Medical Center.

Where is Cayuga Medical Center At Ithaca located?

Cayuga Medical Center At Ithaca is located at 101 Dates Dr, Ithaca, NY 14850. The listed phone number is (607) 274-4011.

What is Cayuga Medical Center At Ithaca's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Cayuga Medical Center At Ithaca enrolled in Medicare?

Yes. Cayuga Medical Center At Ithaca is registered in the Medicare PECOS enrollment system.

When is Cayuga Medical Center At Ithaca's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Cayuga Medical Center At Ithaca?

According to the CMS Revalidation Reassignment List (October 2026 release), 55 clinicians in 12 Medicare specialties reassign their Medicare billing to Cayuga Medical Center At Ithaca. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Psychiatry (14) and Hematology/Oncology (5). Of these, 12 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cayuga Medical Center At Ithaca accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Cayuga Employee Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Cayuga Medical Center At Ithaca hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cayuga Medical Center At Ithaca was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.