Active NPI
Ronald Gmerek
- Foot Surgery Podiatrist
- Avon, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N005586-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-0345421 | Other | NY | UNITED HEALTH CARE |
| 02146569 | Medicaid | NY | |
| 7101267 | Other | NY | AETNA |
| MDH352 | Other | NY | PREFERRED CARE |
| G0184705620 | Other | NY | FINGER LAKES |
| 000924073002 | Other | NY | BC / BS OF WNY |
| 106819EQ | Other | NY | PREFERRED CARE |
| P030005586 | Other | NY | BLUE CROSS / BLUE SHIELD |
| P00074369 | Other | NY | MEDICARE RAILROAD |
| P010005586 | Other | NY | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 30 |
| Removal of skin lesions | 26 |
| Removal of nail tissue | 647 |
| Removal or shaving of skin growth | 24 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N005586-01 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Foot Doctor, P.C. | Foot Surgery | Current | Accepting new patients |
| Eastside Podiatry | Foot Surgery | Past | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; 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.