NPIMap

Individual provider Active NPI

Keith G.H. Schroeder, M.D.

  • Diagnostic Radiology Physician
  • Rochester, NY
National Provider Identifier
1295724425
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
187237 Issued in NY
Practice address
1555 Long Pond Rd
Rochester, NY 14626-4122
Phone
(585) 241-6400
Fax
(585) 241-6505
NPI assigned
Oct 20, 2005
Last updated
Dec 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 187237 NY Primary

Addresses

Primary practice location

1555 Long Pond Rd
Rochester, NY 14626-4122

Mailing address

2263 S Clinton Ave
Rochester, NY 14618-2623
Phone (585) 241-6400

Other identifiers 1

IdentifierTypeStateIssuer
02068082MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000785 NY Practitioner - Diagnostic Radiology 5496646051 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Borg and Ide Imaging PCGroup PAC ID 9931012960, 14 clinicians

Practice addresses (Care Compare)

995 Senator Keating Blvd
BLDG 3
Rochester, NY 14618-2775
Phone (585) 241-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
85
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
187237NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Borg & Ide Imaging, PC Diagnostic Radiology CurrentSince Jan 10, 2000 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Borg Imaging Group LLP Past Accepting new patients

Locations

27037 Network Pl
Chicago, IL 60673

27443 Network Pl
Chicago, IL 60673

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

1160 Pittsford Victor Rd
Ste D2
Pittsford, NY 14534
Phone (585) 218-8007

1 Saredon Pl
Ste 200
Rochester, NY 14606
Phone (585) 225-5735

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

1561 Long Pond Rd
Ste 113
Rochester, NY 14626
Phone (585) 241-6800

2263 S Clinton Ave
Rochester, NY 14618

995 Senator Keating Blvd
#B
Rochester, NY 14618

995 Senator Keating Blvd
Bldg 3
Rochester, NY 14618
Phone (585) 241-6600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1295724425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182623",
            "telephone_number": "585-241-6400",
            "fax_number": "585-241-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264122",
            "telephone_number": "585-241-6400",
            "fax_number": "585-241-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "KEITH",
        "middle_name": "G.H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "187237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02068082",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.