DR. ALI ETEMAD-REZAIE MD, MS, FRCSC
NPI 1679316277
Orthopaedic Surgery - Sports Medicine in Cooperstown, NY
NPI Status: Active since June 13, 2024
- Individual
- Male
- Orthopaedic Surgery
- Sports Medicine
- PECOS Enrolled
About ALI ETEMAD-REZAIE
This page provides the complete NPI Profile along with additional information for Ali Etemad-rezaie, a provider established in Cooperstown, New York with a medical specialization in Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1679316277 assigned on June 2024. The practitioner's primary taxonomy code is 207XX0005X with license number 334214-01 (NY). The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1679316277
- Provider Name
- DR. ALI ETEMAD-REZAIE MD, MS, FRCSC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1 ATWELL RD COOPERSTOWN, NY 13326
- Location Phone
- (607) 282-2003
- Mailing Address
- 1 ATWELL RD COOPERSTOWN, NY 13326
- Mailing Phone
- (607) 282-2003
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-13-2024
- Last Update Date
- 07-20-2025
- Code Navigator
Location Map
Secondary Locations
- 1 Associate Dr Unit 1
Oneonta, NY 13820
(607) 282-2003 - 1 Norton Ave
Oneonta, NY 13820
(607) 282-2003
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 334214-01
- License State
- NY
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 334214-01 (NY) |
| 2 | 207XX0005X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 4301510967 (MI) |
Medicare Participation & PECOS Enrollment Status
Ali Etemad-rezaie is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. ALI ETEMAD-REZAIE MD, MS, FRCSC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 7 | 9 | 3 | 1 | 6 | 2 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 6 | 1 | 12 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 6 + 1 + 1 + 2 + 2 + 1 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1679316277 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225020357 | BETH A MARKS RPA C Individual | Physician Assistant | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-4762 |
| 1679566350 | MS. MARIA E ALLEN NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1 ATWELL RD DEPARTMENT OF PSYCHIATRY COOPERSTOWN, NY 13326 (607) 547-3500 |
| 1235129297 | DR. WILLIAM CHARLES WASSEL M.D. Individual | Pediatrics | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-3074 |
| 1134108244 | O SCOTT RAFFO M.D. Individual | Anesthesiology | 1 ATWELL RD BASSETT HEALTHCARE, ANESTHESIOLOGY DEPARTMENT COOPERSTOWN, NY 13326 (607) 547-3153 |
| 1437124666 | DR. MARGARET RUTH YOUNG M.D. Individual | Pediatrics | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-7980 |
| 1841265980 | DR. HENRY F WEIL M.D. Individual | Internal Medicine | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-3909 |
| 1225004716 | NICHOLAS JOHN HELLENTHAL M.D. Individual | Urology | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-3075 |
| 1497721369 | DR. DAVID J BERNARD MD Individual | Anesthesiology | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-3153 |
| 1619946662 | DR. PAUL DONNALD RUSSO O.D Individual | Optometrist | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-6831 |
| 1336118710 | TAMI ELAINE PELCER PA-C Individual | Physician Assistant (Surgical) | 1 ATWELL RD COOPERSTOWN, NY 13326 (315) 823-4506 |
| 1295795805 | DR. PETER J GENCARELLI M.D. Individual | Anesthesiology | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-3909 |
| 1144280793 | DR. MICHAEL P LACHANCE M.D. Individual | Anesthesiology | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-3909 |
| 1184685406 | DR. JAMES T DALTON M.D. Individual | Internal Medicine | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-3967 |
| 1285695429 | DR. DENNIS A SAVOIE M.D. Individual | Internal Medicine | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-3909 |
| 1700847886 | DR. JACKSON K LABUDDE M.D. Individual | Orthopaedic Surgery | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-3476 |
| 1609837749 | DR. JONATHAN A GREENBERG M.D. Individual | Anesthesiology | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-3909 |
| 1255392437 | DR. JEFFREY R MURRAY M.D. Individual | Internal Medicine | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-3909 |
| 1558322602 | DR. DEAN M ROBINSON M.D. Individual | Anesthesiology | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-3909 |
| 1245291319 | DR. JOSEPH P DUTKOWSKY M.D. Individual | Orthopaedic Surgery | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-6772 |
| 1053372748 | DR. BRENDA J DAVIES-WAIT D.O. Individual | Internal Medicine | 1 ATWELL RD COOPERSTOWN, NY 13326 (607) 547-3259 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679316277, enumerated in the NPI registry as an "individual" on June 13, 2024
The provider is located at 1 Atwell Rd Cooperstown, Ny 13326 and the phone number is (607) 282-2003
The provider's speciality is Orthopaedic Surgery with taxonomy code 207XX0005X with a focus in Sports Medicine
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 13, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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