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DR. ALICA RUCEKOVA MD
NPI 1427200641
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Ithaca, NY

Active since October 21, 2008PECOS Enrolled
1780 HANSHAW RD, ITHACA, NY 14850(607) 257-5858(607) 257-1718 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Alica Rucekova Md NPPES

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

DR. ALICA RUCEKOVA MD (NPI 1427200641) is an individual preventive medicine/occupational environmental medicine provider in Ithaca, New York, licensed in Pennsylvania (MD435332) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427200641
Entity TypeIndividualFemale
Primary Taxonomy2083P0500X
Provider Legal NameDR. ALICA RUCEKOVACredential: MD
Location Address1780 HANSHAW RDIthaca, NY 14850-9105
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858
Phone(607) 257-5858
Fax(607) 257-1718
Sole ProprietorNo
Enumeration DateOctober 21, 2008
Last NPPES UpdateDecember 14, 2021
✔ NPI 1427200641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
License✔ Licensed in PA · MD435332
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
1780 HANSHAW RD, Ithaca, NY 14850
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Other Identifiers 2

Medicaid03053270NY
Medicaid1022323480001PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alica Rucekova 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.

Medicare Billing Reassignment

Medicare enrollment records show Alica Rucekova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
2,364 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

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 20

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

DR. DAVID ERIC RISTEDT M.D.
Family Medicine
1780 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 257-5858
TAMARA ARLEEN REYNOLDS RD
Dietitian, Registered
1780 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 257-5858
MATTHEW S UJEVICH DO
Family Medicine
1780 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 257-5858
DR. ALIASGHAR MOHYUDDIN M.D.
Internal Medicine
1780 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 257-5858
MS. SHARON S. KOZLOWSKI CFNP
Nurse Practitioner
1780 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 257-5858
DR. CATHERINE JEAN CANNARIATO MD
Family Medicine
1780 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 257-5858
DR. SHABIR Y FERDOWS DO
Family Medicine
1780 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 257-5858
MELISSA ANN O'BANION
Physician Assistant
1780 HANSHAW RD
ITHACA, NY 14850
Tompkins County (607) 257-5858

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 Alica Rucekova's NPI number?

The NPI number for Alica Rucekova is 1427200641. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Where is Alica Rucekova located?

Alica Rucekova practices at 1780 Hanshaw Rd, Ithaca, NY 14850. The listed phone number is (607) 257-5858.

What is Alica Rucekova's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Is Alica Rucekova enrolled in Medicare?

Yes. Alica Rucekova is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alica Rucekova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alica Rucekova reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Alica Rucekova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alica Rucekova was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.