Waverly Medical Associates LLC
NPI 1457757486 · Internal Medicine Physician · Waverly, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Waverly Medical Associates LLC is a Internal Medicine Physician organization in Waverly, NY (NPI 1457757486).
Provider details
- NPI number
- 1457757486
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Victor Idahosa, Owner(607) 821-2444
- License
- 275859 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-11-19
- Last updated
- 2016-09-23
Frequently asked questions
- What is Waverly Medical Associates LLC's NPI number?
- Waverly Medical Associates LLC's National Provider Identifier (NPI) is 1457757486, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waverly Medical Associates LLC?
- Waverly Medical Associates LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Waverly Medical Associates LLC located?
- Waverly Medical Associates LLC's practice location on file with NPPES is 348 Broad St, Waverly, NY 14892-1441.
- What is Waverly Medical Associates LLC's phone number?
- The practice phone number listed in the NPPES registry for Waverly Medical Associates LLC is (607) 821-2444.
- Does Waverly Medical Associates LLC accept Medicare?
- Waverly Medical Associates LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Waverly Medical Associates LLC?
- The authorized official listed on Waverly Medical Associates LLC's NPPES record is Victor Idahosa, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waverly Medical Associates LLC's NPI active?
- Yes — Waverly Medical Associates LLC's NPI (1457757486) is active in the NPPES registry as of the last update on 2016-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.