NPIMap

Individual provider Active NPI

Anthony Petraglia, M.D.

  • Neurological Surgery Physician
  • Rochester, NY
National Provider Identifier
1043346398
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
259616 Issued in NY
Practice address
2655 Ridgeway Ave
Suite 340
Rochester, NY 14626-4296
Phone
(585) 368-6545
Fax
(585) 368-6546
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 259616 NY Primary

Addresses

Primary practice location

2655 Ridgeway Ave
Suite 340
Rochester, NY 14626-4296

Mailing address

2655 Ridgeway Ave
Suite 340
Rochester, NY 14626-4296
Phone (585) 368-6545

Other practice location 1

190 Washington Ave
Batavia, NY 14020-2113
Phone (585) 368-6545

Other practice location 2

875 Pre Emption Rd
Geneva, NY 14456-2042
Phone (585) 368-6545

Other identifiers 1

IdentifierTypeStateIssuer
03872837MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anthony.petraglia@rochesterregional.org

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
I20140725001569 NY Practitioner - Neurosurgery 5496971590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Rochester School of Medicine and Dentistry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians

Practice addresses (Care Compare)

100 Kings Hwy S
Rochester, NY 14617-5504

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 429-2289

1565 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7366

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

16 Bank St
Batavia, NY 14020-2250
Phone (585) 344-4800

2655 Ridgeway Ave
Rochester, NY 14626-4296

Hospital & facility affiliations

  • Rochester Regional Health Home Care Home health agency, Rochester, NY, CCN 337066
  • Unity Hospital Hospital, Rochester, NY, CCN 330226
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion317
Laminectomy or laminotomy (partial removal of spine bones)159
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259616NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Jul 1, 2014 Accepting new patients
Western New York Medical Practice P.C. CurrentSince May 1, 2020 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

190 Washington Ave
Batavia, NY 14020
Phone (585) 222-6566

875 Pre Emption Rd
Geneva, NY 14456
Phone (315) 789-5061

2655 Ridgeway Ave
Ste 340
Rochester, NY 14626
Phone (585) 368-6545

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Interoperability endpoints

  • Direct secure messaging: apetraglia160673@direct.rochesterregional.org

Organizations & group practices 5

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 11

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1043346398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE",
            "address_2": "SUITE 340",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264296",
            "telephone_number": "585-368-6545",
            "fax_number": "585-368-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE",
            "address_2": "SUITE 340",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264296",
            "telephone_number": "585-368-6545",
            "fax_number": "585-368-6546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140202113",
            "country_code": "US",
            "telephone_number": "585-368-6545",
            "fax_number": "585-368-6546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 Pre Emption Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144562042",
            "country_code": "US",
            "telephone_number": "585-368-6545",
            "fax_number": "585-368-6546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRAGLIA",
        "first_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "259616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03872837",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anthony.petraglia@rochesterregional.org",
            "affiliation": "N",
            "address_1": "2655 Ridgeway Ave",
            "address_2": "Suite 340",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.