Individual provider Active NPI

Ronald Gmerek

  • Foot Surgery Podiatrist
  • Avon, NY
National Provider Identifier
1043319692
Registry record updated Dec 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005586-01 Issued in NY
Practice address
102 Genesee St
Avon, NY 14414-1222
Phone
(585) 226-9340
Fax
(585) 226-6704
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005586-01 NY Primary

Addresses

Primary practice location

102 Genesee St
Avon, NY 14414-1222

Mailing address

1200 Jefferson Rd
Ste 203
Rochester, NY 14623-3158
Phone (585) 226-9340

Other identifiers 10

IdentifierTypeStateIssuer
83-0345421OtherNYUNITED HEALTH CARE
02146569MedicaidNY
7101267OtherNYAETNA
MDH352OtherNYPREFERRED CARE
G0184705620OtherNYFINGER LAKES
000924073002OtherNYBC / BS OF WNY
106819EQOtherNYPREFERRED CARE
P030005586OtherNYBLUE CROSS / BLUE SHIELD
P00074369OtherNYMEDICARE RAILROAD
P010005586OtherNYBLUE CHOICE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000568 NY Practitioner - Podiatry 6608083753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 Jefferson Rd
Suite 203
Rochester, NY 14623-3158
Phone (585) 226-9340

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of skin lesions26
Removal of nail tissue647
Removal or shaving of skin growth24
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005586-01NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Foot Doctor, P.C. Foot Surgery CurrentSince Jan 9, 2003 Accepting new patients
Eastside Podiatry Foot Surgery PastSince Jun 12, 2002 Accepting new patients

Locations

102 Genesee St
Avon, NY 14414
Phone (585) 226-9340

1200 Jefferson Rd
Ste 203
Rochester, NY 14623
Phone (585) 226-9340

Interoperability endpoints

  • Direct secure messaging: footdoc@footdoc.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 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1043319692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 JEFFERSON RD",
            "address_2": "STE 203",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233158",
            "telephone_number": "585-226-9340",
            "fax_number": "585-226-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GENESEE ST",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144141222",
            "telephone_number": "585-226-9340",
            "fax_number": "585-226-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GMEREK",
        "first_name": "RONALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005586-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "83-0345421",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02146569",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7101267",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDH352",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FINGER LAKES",
            "identifier": "G0184705620",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC / BS OF WNY",
            "identifier": "000924073002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "106819EQ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "P030005586",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00074369",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010005586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, NY

Sources for this page

Verify at the official NPI Registry.