Michael Joseph Penkin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012367-1 Issued in NY

Practice address

1655 Elmwood Ave
Suite 235
Rochester, NY 14620-3429

Phone

(585) 444-7325

Fax

(585) 991-6656

NPI assigned

Jul 1, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Hospice/Palliative Care, Physical Medicine and Rehabilitation, Sports Medicine

Education

New York Chiropractic College, 2013

Medicare assignment

May accept Medicare assignment

Group practices

P and T Chiropractic PLLCGroup PAC ID 4385928217, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• P & T Chiropractic PLLC

  • Chiropractor
  • Rochester, NY
  • NPI 1023483286
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1063852390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 ELMWOOD AVE",
            "address_2": "SUITE 235",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203429",
            "telephone_number": "585-444-7325",
            "fax_number": "585-991-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 ELMWOOD AVE",
            "address_2": "SUITE 235",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203429",
            "telephone_number": "585-444-7325",
            "fax_number": "585-991-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENKIN",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012367-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Alaska Pendleton, MD
• Deepika Pendri, B.PHARM
• Penfield Central School District
• Lee Fu Peng, MD, PHD
• Karen Susan Penird, M.D.
• Sarah K Tirimacco Penkin, DC
• Amulya Penmetsa, M.D.
• Prasadvarma Penmetsa, MD
• Uma Penmetsa, M.D.
• Thomas E Penn, MD

• Chiropractor in Rochester, NY
• Providers in Rochester, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.

Verify at the official NPI Registry.