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BUTTERMILK FALLS PEDIATRICS
NPI 1316036635
Pediatrics in Ithaca, NY

Active since October 12, 2006CLIA 33D0927498 · Waiver
22 ARROWOOD DR STE A, ITHACA, NY 14850(607) 272-6880(607) 257-5538 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Buttermilk Falls Pediatrics NPPES

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

BUTTERMILK FALLS PEDIATRICS (NPI 1316036635) is a healthcare organization registered as a pediatrics in Ithaca, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Amit Shrivastava, Owner, as its authorized official.

NPPES Registry Identity

NPI1316036635
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBUTTERMILK FALLS PEDIATRICS
Location Address22 ARROWOOD DR STE AIthaca, NY 14850-1870
Mailing Address22 Arrowood Dr Ste AIthaca, NY 14850-1870 · (607) 272-6880 · Fax (607) 257-5538
Phone(607) 272-6880
Fax(607) 257-5538
Organization SubpartNo
Authorized OfficialAmit ShrivastavaOwner · (607) 272-6880
Enumeration DateOctober 12, 2006
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1316036635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
22 ARROWOOD DR STE A, Ithaca, NY 14850
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 Waiver 33D0927498

Buttermilk Falls Pediatrics PLLC · Ithaca, NY
Active · expires Jul 2, 2027
CLIA Number33D0927498
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorDr. Amit Shrivastava
Laboratory Phone(607) 272-6880
Laboratory LocationButtermilk Falls Pediatrics PLLC22 Arrowwood Drive, Suite A, Ithaca, NY 14850
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Buttermilk Falls Pediatrics's NPI number?

The NPI number for Buttermilk Falls Pediatrics is 1316036635. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Buttermilk Falls Pediatrics located?

Buttermilk Falls Pediatrics is located at 22 Arrowood Dr Ste A, Ithaca, NY 14850. The listed phone number is (607) 272-6880.

What is Buttermilk Falls Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Buttermilk Falls Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0927498) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Buttermilk Falls Pediatrics was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.