Individual provider Active NPI

Bethany Corbin, M.D.

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1063946473
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
322525 Issued in NY
Practice address
601 Elmwood Ave.
Rochester, NY 14642-0001
Phone
(585) 275-4912
Fax
(585) 276-2144
NPI assigned
Apr 13, 2017
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 322525 NY Primary
Pediatrics Physician 208000000X 75393 WI
Hospitalist Physician 208M00000X 75393 WI

Addresses

Primary practice location

601 Elmwood Ave.
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave Box Med
Rochester, NY 14642-0001
Phone (585) 275-4912

Other identifiers 1

IdentifierTypeStateIssuer
1063946473MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220113001950 WI Practitioner - HospitalistPractitioner - Pediatric Medicine 2264770338 Reassigns benefits to 1 organization
I20230522001671 NY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2264770338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Pittsburgh School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine GroupGroup PAC ID 3476454661, 166 clinicians

Practice addresses (Care Compare)

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-7424

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.12 of 100Reported as group
Quality
66.85
Promoting interoperability
100
Improvement activities
40
Cost
96.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322525NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Group Univ of Rochester CurrentSince Jul 1, 2023 Accepting new patients
Internal Medicine Group CurrentSince Jul 1, 2023 Accepting new patients
University of Rochester CurrentSince Jul 1, 2023 Accepting new patients
Internal Medicine Group Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
The Medical College of Wisconsin, Inc. Internal Medicine CurrentSince Jan 6, 2022 Accepting new patients
University of Rochester Internal Medicine Current Accepting new patients
Pediatric Group Univ of Rochester Pediatrics Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University of Rochester Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
University of Rochester Past Accepting new patients

Locations

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#320
Rochester, NY 14642

601 Elmwood Ave
#777
Rochester, NY 14642
Phone (585) 275-0995

601 Elmwood Ave
#777R
Rochester, NY 14642
Phone (585) 273-1044

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625

Interoperability endpoints

  • Direct secure messaging: bcorbin506593@direct.froedtert.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1063946473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX MED",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-4912",
            "fax_number": "585-276-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE.",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-4912",
            "fax_number": "585-276-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "BETHANY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "322525",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "75393",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "75393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063946473",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.