Active NPI
Eva Wall, MD
- Surgery Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 221037
- Practice address
- 1415 Portland Ave Ste 245
Rochester, NY 14621-3022 - Phone
- (585) 922-4518
- Fax
- (585) 922-3950
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 221037 | NY | Primary |
Addresses
Primary practice location
1415 Portland Ave Ste 245
Rochester, NY 14621-3022
Mailing address
1415 Portland Ave Ste 245
Rochester, NY 14621-3022
Phone (585) 922-4518
Other practice location 1
200 North Street
Suite 304
Geneva, NY 14456
Phone (315) 787-5383
Other practice location 2
200 North St Ste 203
Geneva, NY 14456-1561
Phone (315) 787-5883
Other names 1
- Eva Slepecki
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ewall227240@direct.rochesterregional.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- George Washington University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Harrison St
Suite 455
Johnson City, NY 13790-2176
Phone (607) 763-8100
70 Dubois St
Newburgh, NY 12550-4851
Phone (845) 561-4400
Hospital & facility affiliations
- United Health Services Hospitals, Inc
- Montefiore St Luke'S Cornwall
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Surgery | Current | Accepting new patients |
| United Medical Associates PC | Current | Accepting new patients | |
| New York Surgicalist Services, P.C. | Surgery | Current | Accepting new patients |
| Western New York Medical Practice, PC | Current | Accepting new patients | |
| United Medical Associates, P.C. | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Surgery | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| United Health Services Hospitals, Inc. | Past | Accepting new patients |
Locations
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
200 North St
Ste 304
Geneva, NY 14456
Phone (315) 607-8915
200 North St
Ste 203
Geneva, NY 14456
Phone (315) 787-5383
196 North St
Geneva, NY 14456
Phone (315) 787-4156
30 Harrison St
Ste 455
Johnson City, NY 13790
Phone (607) 763-8100
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
407 Gidney Ave
Ste B
Newburgh, NY 12550
Phone (845) 458-4700
460 Gidney Ave
Newburgh, NY 12550
Phone (845) 458-4700
70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
1415 Portland Ave
Ste 245
Rochester, NY 14621
Phone (585) 922-4715
1445 Portland Ave
Ste 301
Rochester, NY 14621
Phone (585) 922-4874
Interoperability endpoints
- https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/
- ewall227240@direct.rochesterregional.org
Organizations & group practices 11
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.
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Surgery Physician
- Newburgh, NY
- NPI 1720663768
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
Surgery
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
-
- Durable Medical Equipment & Medical Supplies
- Binghamton, NY
- NPI 1629252556
-
- Orthopaedic Surgery Physician
- Rochester, NY
- NPI 1568868388
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, NY
- NPI 1003923434
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1053417113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE STE 245",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213022",
"telephone_number": "585-922-4518",
"fax_number": "585-922-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE STE 245",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213022",
"telephone_number": "585-922-4518",
"fax_number": "585-922-3950"
}
],
"practiceLocations": [
{
"address_1": "200 North Street",
"address_2": "Suite 304",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "NY",
"postal_code": "14456",
"country_code": "US",
"telephone_number": "315-787-5383",
"fax_number": "315-787-5381",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 North St Ste 203",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "NY",
"postal_code": "144561561",
"country_code": "US",
"telephone_number": "315-787-5883",
"fax_number": "315-787-5381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALL",
"first_name": "EVA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "221037",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ewall227240@direct.rochesterregional.org",
"affiliation": "N",
"address_1": "1415 Portland Ave Ste 245",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146213022",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "EVA",
"last_name": "SLEPECKI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.