NPIMap

Individual provider Active NPI

Mary L Dombovy, MD

  • Physical Medicine & Rehabilitation Physician
  • Rochester, NY
National Provider Identifier
1104853969
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
178528 Issued in NY
Practice address
2655 Ridgeway Ave
Suite 420
Rochester, NY 14626-4285
Phone
(585) 723-7972
Fax
(585) 368-3119
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 178528 NY Primary

Addresses

Primary practice location

2655 Ridgeway Ave
Suite 420
Rochester, NY 14626-4285

Mailing address

2655 Ridgeway Ave
Suite 420
Rochester, NY 14626-4285
Phone (585) 723-7972

Other identifiers 2

IdentifierTypeStateIssuer
1785286OtherWORKERS COMP
01674533MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mary.dombovy@rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031226000239 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Neurology 1355249483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Neurology
Education
Mayo Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

2655 Ridgeway Ave
Suite 420
Rochester, NY 14626-4296
Phone (585) 723-7972

Hospital & facility affiliations

  • Unity Hospital Inpatient rehabilitation facility, Rochester, NY, CCN 33T226

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Physical Medicine & Rehabilitation Current Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 1, 2003 Accepting new patients
Rochester General Hospital CurrentSince Sep 1, 2014 Accepting new patients
The Unity Hospital of Rochester Past Accepting new patients

Locations

2655 Ridgeway Ave
Ste 420
Rochester, NY 14626
Phone (585) 723-7705

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Interoperability endpoints

  • Direct secure messaging: mdombovy83405@direct.rochesterregional.org

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1104853969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE",
            "address_2": "SUITE 420",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264285",
            "telephone_number": "585-723-7972",
            "fax_number": "585-368-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE",
            "address_2": "SUITE 420",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264285",
            "telephone_number": "585-723-7972",
            "fax_number": "585-368-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBOVY",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "178528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "1785286",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01674533",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.dombovy@rochesterregional.org",
            "affiliation": "N",
            "address_1": "2655 Ridgeway Ave",
            "address_2": "Suite 420",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.