Individual provider Active NPI

Shirley Jane Cirillo, MD

  • Neurology Physician
  • Rochester, NY
National Provider Identifier
1316927007
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
238147 Issued in NY
Practice address
1734 Ridge Rd E
Rochester, NY 14622-2157
Phone
(585) 467-8888
Fax
(585) 338-1217
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 238147 NY Primary

Addresses

Primary practice location

1734 Ridge Rd E
Rochester, NY 14622-2157

Mailing address

1734 Ridge Rd E
Rochester, NY 14622-2157
Phone (585) 467-8888

Other names 1

  • Shirley Jane Go Former name

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
I20070619000010 NY Practitioner - Neurology 1951400860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1734 E Ridge Rd
Rochester, NY 14622-2157
Phone (585) 467-8888

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001100NYMDPsychoanalyst

Practice roles

OrganizationSpecialtyStatusNew patients
Flower City Dermatology PC Current Accepting new patients
Rochester General Hospital PastSince Jul 17, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: scirillo31678@direct.rochesterregional.org
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00132

Organizations & group practices 3

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1316927007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 RIDGE RD E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222157",
            "telephone_number": "585-467-8888",
            "fax_number": "585-338-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 RIDGE RD E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222157",
            "telephone_number": "585-467-8888",
            "fax_number": "585-338-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRILLO",
        "first_name": "SHIRLEY",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "238147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "GO",
            "middle_name": "JANE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.