Individual provider Active NPI

Mary L Coan, M.D.

  • Family Medicine Physician
  • Pittsford, NY
National Provider Identifier
1275560369
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
214314 Issued in NY
Practice address
115 Sullys TRL Ste 4
Pittsford, NY 14534-4571
Phone
(315) 462-3553
Fax
(315) 462-3104
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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 214314 NY Primary

Addresses

Primary practice location

115 Sullys TRL Ste 4
Pittsford, NY 14534-4571

Mailing address

115 Sullys TRL Ste 4
Pittsford, NY 14534-4571
Phone (315) 462-3553

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
I20060215000726 NY Practitioner - Family Practice 0648285452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Rochester School of Medicine and Dentistry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 Sullys TRL
Suite 4
Pittsford, NY 14534-4571
Phone (315) 462-3553

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Obstetrics-Gynecology Group Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFCGAA/Endpoint/DFCGAA
  • Direct secure messaging: mary.coan@ifcats.eclinicaldirectplus.com

Organizations & group practices 2

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 6

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1275560369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SULLYS TRL STE 4",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344571",
            "telephone_number": "315-462-3553",
            "fax_number": "315-462-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SULLYS TRL STE 4",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344571",
            "telephone_number": "315-462-3553",
            "fax_number": "315-462-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COAN",
        "first_name": "MARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "214314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.