Dermatology Associates of Ithaca, LLC
NPI 1609170992 · Dermatology Physician · Ithaca, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology Associates of Ithaca, LLC is a Dermatology Physician organization in Ithaca, NY (NPI 1609170992).
Provider details
- NPI number
- 1609170992
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Katie Terrazas, Office Manager(607) 257-1107
- License
- 250861 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 3773 Luker RdCortland, NY 13045-9398Phone: (607) 257-1107
Registry dates
- Enumerated
- 2011-01-01
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Frequently asked questions
- What is Dermatology Associates of Ithaca, LLC's NPI number?
- Dermatology Associates of Ithaca, LLC's National Provider Identifier (NPI) is 1609170992, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology Associates of Ithaca, LLC?
- Dermatology Associates of Ithaca, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology Associates of Ithaca, LLC located?
- Dermatology Associates of Ithaca, LLC's practice location on file with NPPES is 1051 Craft Rd, Ithaca, NY 14850-1016.
- What is Dermatology Associates of Ithaca, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dermatology Associates of Ithaca, LLC is (607) 257-1107.
- Does Dermatology Associates of Ithaca, LLC accept Medicare?
- Dermatology Associates of Ithaca, 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 Dermatology Associates of Ithaca, LLC?
- The authorized official listed on Dermatology Associates of Ithaca, LLC's NPPES record is Katie Terrazas, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology Associates of Ithaca, LLC's NPI active?
- Yes — Dermatology Associates of Ithaca, LLC's NPI (1609170992) is active in the NPPES registry as of the last update on 2024-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.