NPIMap

Individual provider Active NPI

Marina K S Ma, MD

  • Family Medicine Physician
  • Spencerport, NY
National Provider Identifier
1326259532
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
257971 Issued in NY
Practice address
4 Land Re Way
Suite 100
Spencerport, NY 14559-1735
Phone
(585) 368-6620
NPI assigned
May 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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 257971 NY Primary

Addresses

Primary practice location

4 Land Re Way
Suite 100
Spencerport, NY 14559-1735

Mailing address

4 Land Re Way
Suite 100
Spencerport, NY 14559-1735
Phone (585) 368-6620

Other identifiers 1

IdentifierTypeStateIssuer
03248551MedicaidNY

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
I20101105000936 NY Practitioner - Family Practice 2264627074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 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

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Rochester Regional Health Home Care Home health agency, Rochester, NY, CCN 337066
  • Unity Hospital Hospital, Rochester, NY, CCN 330226
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

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
Rochester General Hospital Family Medicine CurrentSince May 26, 2021 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 15, 2010 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 15, 2010 Accepting new patients
Rochester General Hospital CurrentSince May 26, 2021 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

4 Land Re Way
Ste 100
Spencerport, NY 14559
Phone (585) 368-6620

4 Land Re Way
Spencerport, NY 14559
Phone (585) 721-9156

Interoperability endpoints

  • Direct secure messaging: mma197205@direct.rochesterregional.org

Organizations & group practices 5

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 10

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": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1326259532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAND RE WAY",
            "address_2": "SUITE 100",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591735",
            "telephone_number": "585-368-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAND RE WAY",
            "address_2": "SUITE 100",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591735",
            "telephone_number": "585-368-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "MARINA",
        "middle_name": "K S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "257971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03248551",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencerport, NY

Sources for this page

Verify at the official NPI Registry.