Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kime J Ristoff, MD

Individual provider Family Medicine Physician · NPI 1932184397

Kime J Ristoff, MD is a Family Practice in Camillus, New York. Qualified in 1988, 38 years ago. Practices with Select PT, OT and SLP Rehabilitation Ny, PLLC, a 272-clinician group. Licensed in New York.

Years since qualifying
38
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5700 W Genesee St
Camillus, NY 13031-3200
Phone: (315) 487-1573
Fax: (315) 487-2418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 180689 (NY)

Record details

NPI number1932184397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 8, 2005
Last updated in NPPESMay 12, 2008
Mailing address1001 W Fayette St, Ste 400, Syracuse, NY 13204-2859

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Select Pt, Ot And Slp Rehabilitation Ny, Pllc — 272 clinicians
Accepts Medicare assignment Not indicated

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