NPIMap

Individual provider Active NPI

Pankaj Garg, M.D.

  • Internal Medicine Physician
  • Brockport, NY
National Provider Identifier
1043269335
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
199906 Issued in NY
Practice address
80 West Ave
Suite 109
Brockport, NY 14420-1322
Phone
(585) 637-2161
Fax
(585) 637-5819
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 199906 NY Primary

Addresses

Primary practice location

80 West Ave
Suite 109
Brockport, NY 14420-1322

Mailing address

80 West Ave
Suite 109
Brockport, NY 14420-1322
Phone (585) 637-2161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041129000328 NY Practitioner - Internal Medicine 5799740478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brockport Internal Medicine, PCGroup PAC ID 8628033305, 2 clinicians

Practice addresses (Care Compare)

34 W Ave
Brockport, NY 14420-1304
Phone (585) 637-2161

Hospital & facility affiliations

  • Rochester Regional Health Home Care Home health agency, Rochester, NY, CCN 337066
  • HCR / HCR Home Care Chha (Rochester) Home health agency, Rochester, NY, CCN 337257
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Medina Memorial Hospital Hospital, Medina, NY, CCN 331319
  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073

Merit-based Incentive Payment System (MIPS)

Final score
93.36 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brockport Internal Medicine, PC Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
Internal Medicine at Lakeside Internal Medicine Past Accepting new patients

Locations

80 West Ave
Ste 109
Brockport, NY 14420
Phone (585) 637-2161

34 West Ave
Brockport, NY 14420
Phone (585) 391-1424

Interoperability endpoints

  • Direct secure messaging: bim@bim.medicalservices.net

Organizations & group practices 2

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 9

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043269335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WEST AVE",
            "address_2": "SUITE 109",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201322",
            "telephone_number": "585-637-2161",
            "fax_number": "585-637-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WEST AVE",
            "address_2": "SUITE 109",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201322",
            "telephone_number": "585-637-2161",
            "fax_number": "585-637-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "PANKAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockport, NY

Sources for this page

Verify at the official NPI Registry.