Individual provider Active NPI

Mary E Ciranni-Callon, D.O.

  • Obstetrics & Gynecology Physician
  • Rochester, NY
National Provider Identifier
1316903164
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
227294-1 Issued in NY
Practice address
125 White Spruce Blvd # 600
Rochester, NY 14623-1607
Phone
(585) 461-5940
Fax
(585) 242-0682
NPI assigned
Apr 21, 2006
Last updated
Jan 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 227294-1 NY Primary

Addresses

Primary practice location

125 White Spruce Blvd # 600
Rochester, NY 14623-1607

Mailing address

125 White Spruce Blvd # 600
Rochester, NY 14623-1607
Phone (585) 461-5940

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
I20031219000248 NY Practitioner - Obstetrics/Gynecology 8729986427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trillium Health IncGroup PAC ID 9931095007, 8 clinicians

Practice addresses (Care Compare)

170 Science Pkwy
Rochester, NY 14620-4251
Phone (585) 545-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227294-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trillium Health, Inc CurrentSince Jul 13, 2020 Accepting new patients
Trillium Health, Inc. CurrentSince Jul 13, 2020 Accepting new patients
Trillium Health, Inc Current Accepting new patients
Strong Obstetrics-Gynecology Group Obstetrics & Gynecology PastSince Aug 1, 2004 Accepting new patients

Locations

170 Science Pkwy
Rochester, NY 14620
Phone (585) 545-7200

259 Monroe Ave
Rochester, NY 14607
Phone (585) 325-2280

Interoperability endpoints

  • Direct secure messaging: mcirannicallon6466@direct.urmc.rochester.edu

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 2

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1316903164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WHITE SPRUCE BLVD # 600",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231607",
            "telephone_number": "585-461-5940",
            "fax_number": "585-242-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WHITE SPRUCE BLVD # 600",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231607",
            "telephone_number": "585-461-5940",
            "fax_number": "585-242-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRANNI-CALLON",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "227294-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.