Active NPI
Richard J Gensheimer, DPM
- Podiatrist
- Penfield, NY
National Provider Identifier
1073619946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 003503
- Practice address
- 500 Whitney Road
Penfield, NY 14526-2341 - Phone
- (585) 266-1940
- Fax
- (585) 266-2223
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N003503-1 | NY | |
| Podiatrist | 213E00000X | 003503 | NY | Primary |
Addresses
Primary practice location
500 Whitney Road
Penfield, NY 14526-2341
Mailing address
908 Niagara Falls Blvd
Ste 208
N Tonawanda, NY 14120
Phone (716) 692-2160
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BLUE CROSS SHIELD | Other | NY | 8145 |
| 00776669 | Medicaid | NY | |
| P010003503 | Other | NY | BLUE CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N003503-1 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
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": "1201737600000",
"number": "1073619946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NIAGARA FALLS BLVD",
"address_2": "STE 208",
"city": "N TONAWANDA",
"state": "NY",
"postal_code": "14120",
"telephone_number": "716-692-2160",
"fax_number": "716-213-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WHITNEY ROAD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145262341",
"telephone_number": "585-266-1940",
"fax_number": "585-266-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENSHEIMER",
"first_name": "RICHARD",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N003503-1",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "003503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "8145",
"identifier": "BLUE CROSS SHIELD",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00776669",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010003503",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.