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DR. ALI ETEMAD-REZAIE MD, MS, FRCSC
NPI 1679316277
Orthopaedic Surgery - Sports Medicine in Cooperstown, NY

Active since June 13, 2024PECOS EnrolledAccepts Medicare Assignment
1 ATWELL RD, COOPERSTOWN, NY 13326(607) 282-2003 Get Directions Write a Review

NPPES record last updated: July 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ali Etemad-rezaie Md, Ms, Frcsc NPPES

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

DR. ALI ETEMAD-REZAIE MD, MS, FRCSC (NPI 1679316277) is an individual sports medicine provider in Cooperstown, New York, licensed in New York (334214-01) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679316277
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. ALI ETEMAD-REZAIECredential: MD, MS, FRCSC
Location Address1 ATWELL RDCooperstown, NY 13326-1301
Mailing Address1 Atwell RdCooperstown, NY 13326-1301 · (607) 282-2003
Phone(607) 282-2003
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 13, 2024
Last NPPES UpdateJuly 20, 2025
NPPES CertifiedJuly 20, 2025
✔ NPI 1679316277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses✔ Licensed in NY · 334214-01✔ Licensed in MI · 4301510967
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 334214-01 (NY)
1 ATWELL RD, Cooperstown, NY 13326
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Secondary Practice Locations 2

Location 11 Associate Dr Unit 1Oneonta, NY 13820-2266 · Phone (607) 282-2003
Location 21 Norton AveOneonta, NY 13820-2629 · Phone (607) 282-2003

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ali Etemad-rezaie Md, Ms, Frcsc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416496799
PECOS Enrollment IDI20250611001046
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330085
LocationOne Norton AvenueOneonta, NY 13820 · Otsego County
Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

Cobleskill Regional Hospital

Critical Access Hospitals · Cobleskill, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number331320
Location178 Grandview DriveCobleskill, NY 12043 · Schoharie County
Emergency services

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.

SHIRLEY SCHUE ARNP
Nurse Practitioner (Pediatrics)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-6982
MARGUERITE DUPLESSIS PA-C
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3153
KYLE NICK PA-C
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3456
MS. BARBARA MARY SEPP LCSW
Social Worker (Clinical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3500
PATRICIA LINDSAY PA-C
Physician Assistant (Surgical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3400
HAYLEE SMITH
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3456
DR. CHRIS L KJOLHEDE M.D.
Pediatrics
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3290
ELIZABETH FINAN GUINEY L.M., C.M.
Midwife
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3160

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 Ali Etemad-rezaie's NPI number?

The NPI number for Ali Etemad-rezaie is 1679316277. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Ali Etemad-rezaie located?

Ali Etemad-rezaie practices at 1 Atwell Rd, Cooperstown, NY 13326. The listed phone number is (607) 282-2003.

What is Ali Etemad-rezaie's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Ali Etemad-rezaie enrolled in Medicare?

Yes. Ali Etemad-rezaie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ali Etemad-rezaie affiliated with any hospitals?

According to CMS data, Ali Etemad-rezaie is affiliated with Aurelia Osborn Fox Memorial Hospital, Bassett Healthcare and Cobleskill Regional Hospital.

When was this NPI record last updated?

The NPPES record for Ali Etemad-rezaie was last updated on July 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.