Individual provider Active NPI

Mary Pudusseri, MD

  • Cardiovascular Disease Physician
  • Rochester, NY
National Provider Identifier
1104867597
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
157278 Issued in NY
Practice address
601 Elmwood Ave
Rochester, NY 14642-0001
Phone
(585) 275-4751
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 157278 NY Primary

Addresses

Primary practice location

601 Elmwood Ave
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave
Box 679B
Rochester, NY 14642-0001
Phone (585) 275-2475

Other identifiers 8

IdentifierTypeStateIssuer
01009374MedicaidNY
P010157278OtherNYBLUE SHIELD
00026569401OtherNYUNIVERA
MDH648OtherNYPREFERRED CARE
P00061001OtherNYMEDICARE RAILROAD
P010157278OtherNYBLUE CHOICE
000913019003OtherNYBC/BS OF WESTERN NY
5137351OtherNYAETNA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mpudusseri4961@direct.urmc.rochester.edu Direct
Direct Messaging Address mpudusseri4961@direct.urmc.rochester.edu Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324000515 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3577454891 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinical GroupGroup PAC ID 3577458199, 148 clinicians
Geneva General Hospital, IncGroup PAC ID 7810809407, 88 clinicians

Practice addresses (Care Compare)

111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-8661

191 N Main St
Wellsville, NY 14895-1150
Phone (585) 596-0145

196 N St
Geneva, NY 14456-1651
Phone (315) 787-5355

3132 Route 417
Olean, NY 14760-1835
Phone (585) 602-1760

410 Clifton Springs Professional Park
Clifton Springs, NY 14432-1037
Phone (315) 462-3571

418 N Main St
Penn Yan, NY 14527-1070
Phone (315) 531-2546

48 E S St
Geneseo, NY 14454-1390
Phone (585) 602-1700

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2475

601 Elmwood Ave Box
Rochester, NY 14642-0001

Hospital & facility affiliations

  • Jones Memorial Hospital Hospital, Wellsville, NY, CCN 330096
  • Nicholas H Noyes Memorial Hospital Hospital, Dansville, NY, CCN 330238
  • Clifton Springs Hospital and Clinic Hospital, Clifton Springs, NY, CCN 330265
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
69.24
Promoting interoperability
98
Improvement activities
40
Cost
80.41

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
77.37
Promoting interoperability
99
Improvement activities
40
Cost
71.18

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
157278NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Nov 1, 2021 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Feb 1, 2023 Accepting new patients
Geneva General Hospital CurrentSince Dec 4, 2023 Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
Geneva General Hospital, Inc CurrentSince Dec 4, 2023 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Feb 12, 2024 Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
Cardiology Clinical Group Cardiovascular Disease CurrentSince Nov 1, 2003 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Feb 12, 2024 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Nov 1, 2021 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Feb 1, 2023 Accepting new patients
Nicholas H. Noyes Memorial Hospital CurrentSince Feb 25, 2022 Accepting new patients

Locations

73 Buffalo St
Ste 100
Canandaigua, NY 14424

4 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1368

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

196 North St
Geneva, NY 14456
Phone (315) 787-4156

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

601 Elmwood Ave
#679B
Rochester, NY 14642
Phone (585) 273-3760

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

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Interoperability endpoints

  • Direct secure messaging: mpudusseri4961@direct.urmc.rochester.edu

Organizations & group practices 12

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 6

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1104867597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 679B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2475",
            "fax_number": "585-473-0477"
        },
        {
            "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": "585-275-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUDUSSERI",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "157278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01009374",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "P010157278",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026569401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDH648",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00061001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010157278",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WESTERN NY",
            "identifier": "000913019003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5137351",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpudusseri4961@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": "mpudusseri4961@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

Verify at the official NPI Registry.