Individual provider Active NPI

Michael S Rosenfeld, MD

  • Gastroenterology Physician
  • Rome, NY
National Provider Identifier
1114966371
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
140121 Issued in NY
Practice address
91 Perimeter Rd Ste 120
Rome, NY 13441-4018
Phone
(315) 337-0539
Fax
(315) 337-0645
NPI assigned
Jun 5, 2006
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 140121 NY Primary

Addresses

Primary practice location

91 Perimeter Rd Ste 120
Rome, NY 13441-4018

Mailing address

91 Perimeter Rd Ste 120
Rome, NY 13441-4018
Phone (315) 337-0539

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
I20080827000330 NY Practitioner - Gastroenterology 2163598178 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140121NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ajay Goel Physician PC Gastroenterology CurrentSince Mar 1, 2009 Accepting new patients

Locations

1617 N James St
Ste 400
Rome, NY 13440
Phone (315) 732-8880

91 Perimeter Rd
Ste 120
Rome, NY 13441
Phone (315) 336-4830

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1114966371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 PERIMETER RD STE 120",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414018",
            "telephone_number": "315-337-0539",
            "fax_number": "315-337-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 PERIMETER RD STE 120",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414018",
            "telephone_number": "315-337-0539",
            "fax_number": "315-337-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "140121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.