Active NPI
Amber Angela Petrolla, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 277328
- Practice address
- 1425 Portland Ave
Department of Pathology
Rochester, NY 14621-3001 - Phone
- (585) 922-4121
- Fax
- (585) 922-4128
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 277328 | NY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 277328 | NY | Primary |
Addresses
Primary practice location
1425 Portland Ave
Department of Pathology
Rochester, NY 14621-3001
Mailing address
1425 Portland Ave
Department of Pathology
Rochester, NY 14621-3001
Phone (585) 922-4121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Northeastern Ohio University College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000
Hospital & facility affiliations
- Rochester General Hospital
- Newark-Wayne Community Hospital
- Clifton Springs Hospital and Clinic
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277328 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| Clifton Springs Sanitarium Co | Current | Accepting new patients | |
| United Memorial Medical Center | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Internal Medicine | Current | Accepting new patients |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Internal Medicine | Current | Accepting new patients |
| United Memorial Medical Center | Internal Medicine | Current | Accepting new patients |
Locations
127 North St
Batavia, NY 14020
Phone (585) 267-7510
229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440
2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472
1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
-
- General Acute Care Hospital
- Newark, NY
- NPI 1770671182
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- General Acute Care Hospital
- Batavia, NY
- NPI 1902800352
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
Internal Medicine
-
- General Acute Care Hospital
- Newark, NY
- NPI 1346369212
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- Family Medicine Physician
- Batavia, NY
- NPI 1669747085
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
-
- General Acute Care Hospital
- Newark, NY
- NPI 1346369212
-
- General Acute Care Hospital
- Newark, NY
- NPI 1770671182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1033319355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213001",
"telephone_number": "585-922-4121",
"fax_number": "585-922-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213001",
"telephone_number": "585-922-4121",
"fax_number": "585-922-4128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETROLLA",
"first_name": "AMBER",
"middle_name": "ANGELA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "277328",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "277328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.