Individual provider Active NPI

Amber Angela Petrolla, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rochester, NY
National Provider Identifier
1033319355
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
277328 Issued in NY
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

Updated by the provider on Apr 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525002024 NY Practitioner - PathologyPractitioner - Internal Medicine 1052600434 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Internal Medicine
Education
Northeastern Ohio University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Newark-Wayne Community Hospital Hospital, Newark, NY, CCN 330030
  • Clifton Springs Hospital and Clinic Hospital, Clifton Springs, NY, CCN 330265

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
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

LicenseStateTypeSpecialty
277328NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester Current Accepting new patients
Rochester General Hospital CurrentSince Jul 1, 2016 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jul 1, 2016 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Jul 1, 2016 Accepting new patients
United Memorial Medical Center Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Jul 18, 2016 Accepting new patients
Western New York Medical Practice P.C. Internal Medicine CurrentSince Mar 7, 2020 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jul 1, 2016 Accepting new patients
Rochester General Hospital Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
United Memorial Medical Center Internal Medicine CurrentSince Sep 15, 2016 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.