FINGER LAKES DDSO
NPI 1558495374
Clinic/Center - Developmental Disabilities in Waterloo, NY
About Finger Lakes Ddso NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FINGER LAKES DDSO (NPI 1558495374) is a healthcare organization registered as a developmental disabilities in Waterloo, New York and active in the NPI registry since March 2007. The organization lists Karla Smith, Director Of Central Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Finger Lakes Ddso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 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.
Clinicians Billing Medicare Through This Organization
53Medicare enrollment records show 53 clinicians reassign Medicare billing to Finger Lakes Ddso, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 53New Hampton, NY 10958
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Finger Lakes Ddso's NPI number?
The NPI number for Finger Lakes Ddso is 1558495374. It was assigned to this organization in the NPPES registry on March 15, 2007.
Where is Finger Lakes Ddso located?
Finger Lakes Ddso is located at 1083 Waterloo Geneva Rd, Waterloo, NY 13165. The listed phone number is (518) 402-4333.
What is Finger Lakes Ddso's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.
Is Finger Lakes Ddso enrolled in Medicare?
Yes. Finger Lakes Ddso is registered in the Medicare PECOS enrollment system.
When is Finger Lakes Ddso'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 January 31, 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 Finger Lakes Ddso?
According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 16 Medicare specialties reassign their Medicare billing to Finger Lakes Ddso. 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 Internal Medicine (14), Nurse Practitioner (10) and Physical Medicine and Rehabilitation (8). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Finger Lakes Ddso was last updated on August 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Finger Lakes Ddso · NPI 1558495374
Developmental Disabilities organization in Waterloo, New York. Organization record, active in the CMS NPPES registry since March 15, 2007.
## Identity
- **NPI:** 1558495374 (Entity type: Organization)
- **Enumerated:** March 15, 2007
- **Primary specialty:** Clinic/Center - Developmental Disabilities · taxonomy 261QD1600X
- **Organization subpart:** No
- **Authorized official:** Karla Smith, DIRECTOR OF CENTRAL OPERATIONS
## Practice location
- **Address:** 1083 WATERLOO GENEVA RD, Waterloo, NY 13165-1202
- **Phone:** (518) 402-4333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 53 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (14), Nurse Practitioner (10), Physical Medicine and Rehabilitation (8); [full list](https://npiprofile.com/npi/1558495374/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2009
- **Other identifiers:** Medicaid 01433807 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1558495374) · Data from the CMS NPPES public registry.