NPIMap

Individual provider Active NPI

Michael Loeb, MD

  • Family Medicine Physician
  • Canandaigua, NY
National Provider Identifier
1306091558
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
255514 Issued in NY
Practice address
3062 County Complex Dr
Canandaigua, NY 14424
Phone
(585) 396-4340
NPI assigned
Dec 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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 255514 NY Primary

Addresses

Primary practice location

3062 County Complex Dr
Canandaigua, NY 14424

Mailing address

3400 Monroe Ave
Rochester, NY 14618-4725
Phone (585) 203-1056

Other practice location 1

3400 Monroe Ave
Rochester, NY 14618-4725
Phone (585) 203-1056

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
I20100415000720 NY Practitioner - Family Practice 9436286820 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians
Cornerstone Urgent Care Center LLCGroup PAC ID 9739456229, 5 clinicians

Practice addresses (Care Compare)

100 Kings Hwy S
Rochester, NY 14617-5504

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

2968 Chili Ave
Rochester, NY 14624-4532
Phone (585) 207-0088

500 Island Cottage Rd
Rochester, NY 14612-2308
Phone (585) 368-6040

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brockport Medical Care PLLC CurrentSince Jun 1, 2018 Accepting new patients
The Unity Hospital of Rochester CurrentSince Mar 7, 2022 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Feb 15, 2017 Accepting new patients
Cornerstone Urgent Care Center LLC CurrentSince Jan 26, 2024 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Feb 15, 2017 Accepting new patients
Ontario Operations Assoc LLC Past Accepting new patients
Grand Batavia LLC Past Accepting new patients

Locations

2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273

6565 4th Section Rd
Ste 100
Brockport, NY 14420
Phone (585) 391-3988

6565 4th Section Rd
Ste 300
Brockport, NY 14420
Phone (585) 395-0620

500 Island Cottage Rd
Rochester, NY 14612
Phone (585) 368-6000

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

2968 Chili Ave
Rochester, NY 14624
Phone (585) 207-0088

Interoperability endpoints

  • Direct secure messaging: mloeb340013@direct.rochesterregional.org

Organizations & group practices 8

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 9

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1306091558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184725",
            "telephone_number": "585-203-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3062 COUNTY COMPLEX DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "14424",
            "telephone_number": "585-396-4340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Monroe Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146184725",
            "country_code": "US",
            "telephone_number": "585-203-1056",
            "fax_number": "585-203-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOEB",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "255514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.