Active NPI
Corey Houghtling
- Physician Assistant
- Hilton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 031072
- Practice address
- 5688 W Wautoma Beach Rd
Hilton, NY 14468-9126 - Phone
- (585) 944-6317
- NPI assigned
- Oct 23, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 031072 | NY | Primary |
Addresses
Primary practice location
5688 W Wautoma Beach Rd
Hilton, NY 14468-9126
Mailing address
5688 W Wautoma Beach Rd
Hilton, NY 14468-9126
Phone (585) 944-6317
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240305000140 | NY | Practitioner - Physician Assistant | 8426493123 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Western New York Medical Practice PC
Practice addresses (Care Compare)
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122
Hospital & facility affiliations
- Rochester General Hospital
- Strong Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031072 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Western New York Medical Practice, P.C. | Current | Accepting new patients | |
| Brighton Medicine Assoc PC | Past | Accepting new patients |
Locations
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
995 Senator Keating Blvd
Ste 3100
Rochester, NY 14618
Phone (585) 473-1750
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
995 Senator Keating Blvd
Bldg E
Rochester, NY 14618
Phone (585) 232-2980
Interoperability endpoints
- choughtling382861@direct.rochesterregional.org
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Rochester, NY
- NPI 1891467486
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1144286246
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": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1093587149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5688 W WAUTOMA BEACH RD",
"city": "HILTON",
"state": "NY",
"postal_code": "144689126",
"telephone_number": "585-944-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5688 W WAUTOMA BEACH RD",
"city": "HILTON",
"state": "NY",
"postal_code": "144689126",
"telephone_number": "585-944-6317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUGHTLING",
"first_name": "COREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-23",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "031072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.