Individual provider Active NPI

Kenneth James Lindahl, M.D.

  • Ophthalmology Physician
  • Rochester, NY
National Provider Identifier
1316954100
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
150771 Issued in NY
Practice address
30 N Union St
Suite 101
Rochester, NY 14607-1345
Phone
(585) 232-2560
Fax
(585) 232-6446
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 150771 NY Primary

Addresses

Primary practice location

30 N Union St
Suite 101
Rochester, NY 14607-1345

Mailing address

30 N Union St
Suite 101
Rochester, NY 14607-1345
Phone (585) 232-2560

Other identifiers 5

IdentifierTypeStateIssuer
2467OtherNYEXCELLUS BLUE SHIELD
P010150771OtherNYEXCELLUS BLUE CHOICE
100995CROtherNYPREFERRED CARE
01368836MedicaidNY
4391821OtherNYAETNA

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
I20100407000159 NY Practitioner - Ophthalmology 9537064019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Rochester School of Medicine and Dentistry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Eye Care Group, PCGroup PAC ID 7416059274, 3 clinicians

Practice addresses (Care Compare)

30 N Union St
Suite 101
Rochester, NY 14607-1345
Phone (585) 232-2560

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery742
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Eye Care Group PC Ophthalmology CurrentSince Dec 15, 1992 Accepting new patients
Rochester Eye Care Group, PC Ophthalmology CurrentSince Dec 15, 1992 Accepting new patients

Locations

30 N Union St
Rochester, NY 14607
Phone (585) 232-2560

30 N Union St
Ste 101
Rochester, NY 14607
Phone (585) 232-2336

Interoperability endpoints

  • Direct secure messaging: klindahl@rocheye.updoxdirect.com

Organizations & group practices 2

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1316954100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N UNION ST",
            "address_2": "SUITE 101",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071345",
            "telephone_number": "585-232-2560",
            "fax_number": "585-232-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N UNION ST",
            "address_2": "SUITE 101",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071345",
            "telephone_number": "585-232-2560",
            "fax_number": "585-232-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDAHL",
        "first_name": "KENNETH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "150771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE SHIELD",
            "identifier": "2467",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE CHOICE",
            "identifier": "P010150771",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "100995CR",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01368836",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4391821",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.