Individual provider Active NPI

Ma Clarissa H Del Rosario, M.D.

  • Hospitalist Physician
  • Rochester, NY
National Provider Identifier
1275723074
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
245321 Issued in NY
Practice address
100 Kings Hwy S
Rochester, NY 14617-5504
Phone
(585) 922-3122
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 245321 NY
Hospitalist Physician 208M00000X 245321 NY Primary

Addresses

Primary practice location

100 Kings Hwy S
Rochester, NY 14617-5504

Mailing address

1200 Driving Park Ave
Newark, NY 14513-1090

Other practice location 1

6846 Buckley Rd
North Syracuse, NY 13212-4275
Phone (315) 410-6400

Other identifiers 1

IdentifierTypeStateIssuer
02940870MedicaidNY

Other names 1

  • Dr. Ma. Clarissa H Del Rosario Other 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
I20080926000410 NY Practitioner - Internal MedicinePractitioner - NephrologyPractitioner - Hospitalist 2466529847 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist, Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oswego HospitalGroup PAC ID 4981686045, 59 clinicians

Practice addresses (Care Compare)

110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva General Hospital, Inc CurrentSince Jul 23, 2019 Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Jul 1, 2017 Accepting new patients
Rochester General Hospital CurrentSince Jul 1, 2017 Accepting new patients
Rochester General Hospital CurrentSince Jul 1, 2017 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jul 1, 2018 Accepting new patients
Geneva General Hospital CurrentSince Jul 23, 2019 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jul 1, 2018 Accepting new patients
Midwest Doctors Group, LLC Hospitalist Past Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

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

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • Direct secure messaging: cdel@oswegohealth.hiemail.healtheconnections.org

Organizations & group practices 10

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 1

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275723074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-3122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6846 Buckley Rd",
            "address_purpose": "LOCATION",
            "city": "North Syracuse",
            "state": "NY",
            "postal_code": "132124275",
            "country_code": "US",
            "telephone_number": "315-410-6400",
            "fax_number": "315-410-6410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL ROSARIO",
        "first_name": "MA CLARISSA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "245321",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "245321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02940870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA. CLARISSA",
            "last_name": "DEL ROSARIO",
            "middle_name": "H",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.