Individual provider Active NPI

Todd E Gerwig, DO

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1245253418
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
247502 Issued in NY
Practice address
465 Westfall Rd
Rochester, NY 14620-4645
Phone
(585) 279-4800
Fax
(585) 463-2795
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 247502 NY Primary

Addresses

Primary practice location

465 Westfall Rd
Rochester, NY 14620-4645

Mailing address

465 Westfall Rd
Rochester, NY 14620-4645
Phone (585) 463-2600

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
I20140701002250 NY Order and Referring Only - Family PracticePractitioner - Family Practice 7618192808

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247502NYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1245253418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WESTFALL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204645",
            "telephone_number": "585-463-2600",
            "fax_number": "585-463-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WESTFALL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204645",
            "telephone_number": "585-279-4800",
            "fax_number": "585-463-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERWIG",
        "first_name": "TODD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "247502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.