Individual provider Active NPI

Paul Michael Passamonte, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Rochester, NY
National Provider Identifier
1285678201
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
163943 Issued in NY
Practice address
1790 Long Pond Rd
Rochester, NY 14606-4032
Phone
(585) 426-5720
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 163943 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 163943 NY Primary

Addresses

Primary practice location

1790 Long Pond Rd
Rochester, NY 14606-4032

Mailing address

1790 Long Pond Rd
Rochester, NY 14606-4032
Phone (585) 426-5720

Other identifiers 1

IdentifierTypeStateIssuer
00982527MedicaidNY

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
I20041230000083 NY Practitioner - Internal MedicinePractitioner - Emergency Medicine 4789642372 Reassigns benefits to 1 organization
Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Columbia University College of Physicians and Surgeons, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7000

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163943NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Dec 3, 2012 Accepting new patients
The Unity Hospital of Rochester CurrentSince Dec 3, 2012 Accepting new patients
Cheryl Newman MD, PLLC PastSince Sep 5, 2010 Accepting new patients
Internal Medicine at Lakeside Past Accepting new patients
Evergreen Family Medicine, PC PastSince Nov 1, 2000 Accepting new patients

Locations

156 West Ave
Brockport, NY 14420
Phone (585) 395-6095

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

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1285678201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146064032",
            "telephone_number": "585-426-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146064032",
            "telephone_number": "585-426-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSAMONTE",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "163943",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "163943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00982527",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.