Primary Care Internal Medicine of Ithaca, PLLC
NPI 1043736309ActiveOrganization· Internal Medicine· Ithaca, NY
Internal Medicine in Ithaca, New York, registered in NPPES in August 2017. The authorized official on file is Ann R. Costello, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043736309 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2017 |
| Last updated in NPPES | Aug 18, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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