Individual provider Active NPI

Emmanuel Oponde Misodi, M.D.

  • Internal Medicine Physician
  • Elmira, NY
National Provider Identifier
1114164043
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
251238 Issued in NY
Practice address
600 Roe Ave
Elmira, NY 14905-1629
Phone
(607) 737-7770
Fax
(607) 271-3686
NPI assigned
Jan 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 251238 NY
Internal Medicine Physician 207R00000X 251238 NY Primary

Addresses

Primary practice location

600 Roe Ave
Elmira, NY 14905-1629

Mailing address

571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050

Other practice location 1

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-5067

Other practice location 2

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1530

Other practice location 3

1200 Driving Park Ave
Newark, NY 14513-1090
Phone (315) 359-2123

Other practice location 4

127 North St
Batavia, NY 14020-1631
Phone (585) 343-6030

Other identifiers 1

IdentifierTypeStateIssuer
03076368MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emmanuel.misodi@rochesterregional.org

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
I20090202000120 NY Practitioner - Internal MedicinePractitioner - Hospitalist 0840354130 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Rochester School of Medicine and Dentistry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians

Practice addresses (Care Compare)

600 Roe Ave
Elmira, NY 14905-1629
Phone 60773741004118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
55.31
Promoting interoperability
99
Improvement activities
40
Cost
76.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton Springs Sanitarium Co CurrentSince Sep 1, 2019 Accepting new patients
Arnot Ogden Medical Center CurrentSince Mar 29, 2025 Accepting new patients
Arnot Medical Services PLLC Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
Rochester General Hospital CurrentSince Sep 1, 2019 Accepting new patients
Rochester General Hospital Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Arnot Ogden Medical Center CurrentSince Mar 29, 2025 Accepting new patients
Newark Wayne Community Hospital CurrentSince Sep 1, 2019 Accepting new patients
United Memorial Medical Center Internal Medicine CurrentSince Dec 2, 2019 Accepting new patients
Newark Wayne Community Hospital CurrentSince Sep 1, 2019 Accepting new patients
Chemung Medical Services PC Internal Medicine Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients

Locations

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

127 North St
Batavia, NY 14020
Phone (585) 267-7510

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

555 Saint Josephs Blvd
Elmira, NY 14901
Phone (607) 733-6541

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

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

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

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 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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1114164043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROE AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051629",
            "telephone_number": "607-737-7770",
            "fax_number": "607-271-3686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-5067",
            "fax_number": "585-922-2908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1530",
            "fax_number": "315-462-2639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Driving Park Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131090",
            "country_code": "US",
            "telephone_number": "315-359-2123",
            "fax_number": "315-359-2167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 North St",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140201631",
            "country_code": "US",
            "telephone_number": "585-343-6030",
            "fax_number": "585-344-7434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISODI",
        "first_name": "EMMANUEL",
        "middle_name": "OPONDE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "251238",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "251238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03076368",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emmanuel.misodi@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1425 Portland Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.