Roopa M Korni Physician PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

253455 Issued in NY

Legal business name

ROOPA M KORNI PHYSICIAN PLLC

Practice address

2450 W Ridge Rd
Suite 202
Rochester, NY 14626-3037

Phone

(585) 413-3520

Fax

(585) 360-4181

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Roopa Korni, MDNPI 1629272810

Title

Doctor

Phone

(585) 413-3520

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roopa M Korni, MD

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1629272810
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1265776181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W RIDGE RD",
            "address_2": "SUITE 202",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263037",
            "telephone_number": "585-413-3520",
            "fax_number": "585-360-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W RIDGE RD",
            "address_2": "SUITE 202",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263037",
            "telephone_number": "585-413-3520",
            "fax_number": "585-360-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOPA M KORNI PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "KORNI",
        "authorized_official_first_name": "ROOPA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "585-413-3520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "253455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03127759",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAIRE NPI",
            "identifier": "1265776181",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Room to Bloom Therapy Services, LLC
• Claire Rooney
• Patrick John Rooney, M.D.
• Paul Alexander Rooney, L.AC., M.AC,
• Stephen Craig Rooney, PH.D.
• Bridget Roorda
• Ginny Root, LPN
• Maryjo Root, LPN
• Alexander Rorie, CRNA
• Rory P Houghtalen MD PLLC

• Family Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.