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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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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