Individual provider Active NPI

Roberto Mauri, M.D.

  • Internal Medicine Physician
  • Elmira, NY
National Provider Identifier
1306885306
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
186084 Issued in NY
Practice address
859 Broadway St
Elmira, NY 14904-2501
Phone
(607) 734-8179
Fax
(607) 733-3893
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 74604 MA
Internal Medicine Physician 207R00000X 186084 NY Primary

Addresses

Primary practice location

859 Broadway St
Elmira, NY 14904-2501

Mailing address

571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050

Other identifiers 1

IdentifierTypeStateIssuer
01693269MedicaidNY

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
I20031223000585 NY Practitioner - Internal Medicine 3870491160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of ChemungGroup PAC ID 4688692874, 3 clinicians
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians

Practice addresses (Care Compare)

103 Washington St
Elmira, NY 14901-3220
Phone (607) 737-2001

200 Madison Ave
Suite 3D
Elmira, NY 14901-3218
Phone (607) 734-8179

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Corning, NY, CCN 337292
  • Carefirst / Southern Tier Hospice and Palliative Hospice, Painted Post, NY, CCN 331513
  • Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307
  • Robert Packer Hospital Hospital, Sayre, PA, CCN 390079
  • Corning Hospital Hospital, Corning, NY, CCN 330277
  • Chemung County Health Center - Nursing Facility Nursing home, Elmira, NY, CCN 335480

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
55.31
Promoting interoperability
99
Improvement activities
40
Cost
76.8

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
46.76
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74604MAMDInternal Medicine Physician
186084NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Chemung CurrentSince Jan 5, 2023 Accepting new patients
Arnot Medical Services PLLC Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients
County of Chemung Current Accepting new patients
Arnot Ogden Medical Center CurrentSince Mar 1, 2021 Accepting new patients
Arnot Ogden Medical Center CurrentSince Mar 1, 2021 Accepting new patients
Arnot Ogden Medical Center Past Accepting new patients
Arnot Ogden Medical Center Internal Medicine Past Accepting new patients

Locations

555 Saint Josephs Blvd
Elmira, NY 14901
Phone (607) 733-6541

859 Broadway St
Elmira, NY 14904
Phone (607) 734-5814

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

103 Washington St
Elmira, NY 14901
Phone (607) 737-2001

571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050

200 Madison Ave
Ste 3D
Elmira, NY 14901
Phone (607) 734-8179

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

48 Colonial Dr
Horseheads, NY 14845
Phone (607) 739-0304

Interoperability endpoints

  • Direct secure messaging: rmauri27813@direct.xtensys.com
  • Direct secure messaging: roberto.mauri@arn.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chemung County Nursing FacilityElmira, NY, CCN 335480 Skilled nursing facility Contracted Managing Employee
Adp of the SNF
Jan 1, 2025
Jan 21, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 8

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1306885306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 BROADWAY ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042501",
            "telephone_number": "607-734-8179",
            "fax_number": "607-733-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURI",
        "first_name": "ROBERTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "74604",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "186084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01693269",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.