INTERNAL MEDICINE OF ITHACA, PC
NPI 1609060417
Internal Medicine in Ithaca, NY

Active since September 05, 2007
2359 N TRIPHAMMER RD, ITHACA, NY 14850(607) 257-3452(607) 257-3612 Get Directions Write a Review

NPPES record last updated: December 7, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Internal Medicine Of Ithaca, Pc NPPES

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

INTERNAL MEDICINE OF ITHACA, PC (NPI 1609060417) is a healthcare organization registered as an internal medicine in Ithaca, New York and active in the NPI registry since September 2007. The organization lists Muhammad Ahmad Wattoo, President, as its authorized official.

NPPES Registry Identity

NPI1609060417
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE OF ITHACA, PC
Location Address2359 N TRIPHAMMER RDIthaca, NY 14850-1059
Mailing Address2359 N Triphammer RdIthaca, NY 14850-1059 · (607) 257-3452 · Fax (607) 257-3612
Fax(607) 257-3612
Organization SubpartNo
Authorized OfficialMuhammad Ahmad WattooPresident · (607) 257-3452
Enumeration DateSeptember 5, 2007
Last NPPES UpdateDecember 7, 2007
✔ NPI 1609060417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 218549
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2359 N TRIPHAMMER RD, Ithaca, NY 14850

Other Identifiers 1

Medicare PINBA1261NY

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Internal Medicine Of Ithaca, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Internal Medicine Of Ithaca, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1437125895
2359 N TRIPHAMMER RD
Ithaca, NY 14850
(607) 257-3452
✔ PECOS✔ Accepts MedicareSame address

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 Internal Medicine Of Ithaca, PC's NPI number?

The NPI number for Internal Medicine Of Ithaca, PC is 1609060417. It was assigned to this organization in the NPPES registry on September 5, 2007.

Where is Internal Medicine Of Ithaca, PC located?

Internal Medicine Of Ithaca, PC is located at 2359 N Triphammer Rd, Ithaca, NY 14850. The listed phone number is (607) 257-3452.

What is Internal Medicine Of Ithaca, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Internal Medicine Of Ithaca, PC enrolled in Medicare?

Yes. Internal Medicine Of Ithaca, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine Of Ithaca, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Internal Medicine Of Ithaca, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Internal Medicine Of Ithaca, PC was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.