Individual provider Active NPI

Rachael Beth Johengen, DO

  • Internal Medicine Physician
  • Geneva, NY
National Provider Identifier
1134616642
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
315734 Issued in NY
Practice address
196 North St
Geneva, NY 14456-1694
Phone
(315) 787-4000
NPI assigned
Apr 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 315734 NY Primary

Addresses

Primary practice location

196 North St
Geneva, NY 14456-1694

Mailing address

20 Ellen Polimeni Blvd Apt 223
Canandaigua, NY 14424-2251
Phone (585) 813-2023

Other names 1

  • Rachael Beth Farley Former name

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
I20221004002841 NY Practitioner - Internal Medicine 2769868496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geneva General Hospital, IncGroup PAC ID 7810809407, 88 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Ur Medicine Hospice Hospice, Webster, NY, CCN 331550
  • Geneva General Hospital Hospital, Geneva, NY, CCN 330058
  • Soldiers and Sailors Memorial Hospital of Yates Hospital, Penn Yan, NY, CCN 331314

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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva General Hospital, Inc Single Specialty Current Accepting new patients
Geneva General Hospital, Inc Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Geneva General Hospital Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Geneva General Hospital Inc. Past Accepting new patients

Locations

70 Mason St
Geneva, NY 14456
Phone (315) 787-5355

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

Organizations & group practices 4

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 5

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1134616642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ELLEN POLIMENI BLVD APT 223",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242251",
            "telephone_number": "585-813-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 NORTH ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561694",
            "telephone_number": "315-787-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHENGEN",
        "first_name": "RACHAEL",
        "middle_name": "BETH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "315734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "FARLEY",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.