KEUKA FAMILY PRACTICE ASSOCIATES LLP
NPI 1962417352
Family Medicine in Bath, NY
About Keuka Family Practice Associates Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEUKA FAMILY PRACTICE ASSOCIATES LLP (NPI 1962417352), doing business as Keuka Family Practice Associates, is a healthcare organization registered as a family medicine in Bath, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Dennis W O'connor, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keuka Family Practice Associates Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Keuka Family Practice Associates LLP, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Bath, NY 14810
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D0174220
Keuka Family Practice Associates LLP Keuka Med Arts Bldg · Bath, NYFrequently 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 Keuka Family Practice Associates LLP's NPI number?
The NPI number for Keuka Family Practice Associates LLP is 1962417352. It was assigned to this organization in the NPPES registry on July 31, 2006. The provider is doing business as Keuka Family Practice Associates.
Where is Keuka Family Practice Associates LLP located?
Keuka Family Practice Associates LLP is located at 7573 State Route 54, Bath, NY 14810. The listed phone number is (607) 776-2247.
What is Keuka Family Practice Associates LLP's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Keuka Family Practice Associates LLP enrolled in Medicare?
Yes. Keuka Family Practice Associates LLP is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Keuka Family Practice Associates LLP?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Keuka Family Practice Associates LLP. 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 Nurse Practitioner (4) and Family Practice (3). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Keuka Family Practice Associates LLP hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0174220) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Keuka Family Practice Associates LLP was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Keuka Family Practice Associates Llp · NPI 1962417352
Family Medicine organization in Bath, New York. Organization record, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1962417352 (Entity type: Organization)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** KEUKA FAMILY PRACTICE ASSOCIATES (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dennis O'connor, PARTNER
## Practice location
- **Address:** 7573 STATE ROUTE 54, Bath, NY 14810-9504
- **Phone:** (607) 776-2247 · **Fax:** (607) 776-5919
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (3); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2026
- **Other identifiers:** Medicaid 00457805 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962417352) · Data from the CMS NPPES public registry.