Active NPI
Ayodele Tolulope Sangosanya, M.D.
- Trauma Surgery Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 44725
- Practice address
- 601 Elmwood Ave
Box Surg
Rochester, NY 14642-8410 - Phone
- (585) 275-3022
- Fax
- (585) 276-1992
- NPI assigned
- Aug 13, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 245603 | NY | |
| Trauma Surgery Physician | 2086S0127X | 245603 | NY | |
| Trauma Surgery Physician | 2086S0127X | 44725 | CT | Primary |
Addresses
Primary practice location
601 Elmwood Ave
Box Surg
Rochester, NY 14642-8410
Mailing address
267 Grant St # Street3
Bridgeport, CT 06610-2805
Phone (203) 384-3890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02906632 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asangosanya5128@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | asangosanya5128@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Howard University College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
- Constellation Home Care
- Bridgeport Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245603 | NY | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Rochester | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| Cardiac Surgery of the University of Rochester | Surgical Critical Care | Current | Accepting new patients |
| Trauma Burn Emergency Surgery of the University of Rochester | Surgical Critical Care | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Acute Care Trauma of the University of Rochester | Surgical Critical Care | Current | Accepting new patients |
| Northeast Medical Group, Inc. | Past | Accepting new patients |
Locations
267 Grant St
#3
Bridgeport, CT 06610
234 Broad St
Milford, CT 06460
Phone (203) 701-0252
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Interoperability endpoints
- asangosanya5128@direct.urmc.rochester.edu
- asangosanya617430@direct.ynhh.org
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
-
- Surgical Critical Care Physician
- Rochester, NY
- NPI 1851754634
-
- Trauma Surgery Physician
- Rochester, NY
- NPI 1881886380
Surgical Critical Care
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- Surgical Critical Care Physician
- Rochester, NY
- NPI 1689023277
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1962928341
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- Community Based Hospice Care Agency
- Orange, CT
- NPI 1417239088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1073705182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 GRANT ST # STREET3",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066102805",
"telephone_number": "203-384-3890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"address_2": "BOX SURG",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146428410",
"telephone_number": "585-275-3022",
"fax_number": "585-276-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANGOSANYA",
"first_name": "AYODELE",
"middle_name": "TOLULOPE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2023-07-06",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NY",
"license": "245603",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NY",
"license": "245603",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "CT",
"license": "44725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02906632",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asangosanya5128@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asangosanya5128@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Jul 6, 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.