Active NPI
Matthew James Mauro, PA
- Otolaryngology Physician
- Rochester, NY
National Provider Identifier
1366097693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 023778
- Practice address
- 2365 S Clinton Ave Ste 200
Rochester, NY 14618-2663 - Phone
- (585) 758-5700
- Fax
- (585) 758-1299
- NPI assigned
- Aug 5, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 23778 | NY | |
| Physician Assistant | 363A00000X | 023778 | NY | |
| Otolaryngology Physician | 207Y00000X | 023778 | NY | Primary |
Addresses
Primary practice location
2365 S Clinton Ave Ste 200
Rochester, NY 14618-2663
Mailing address
601 Elmwood Avenue Box 629
Rochester, NY 14642-0001
Other practice location 1
2365 S Clinton Ave Ste 200
Rochester, NY 14618-2663
Phone (585) 758-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366097693 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmauro146321@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | mmauro146321@direct.urmc.rochester.edu | Direct |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2365 S Clinton Ave
Suite 200
Rochester, NY 14618-2663
Phone (585) 758-5700
Hospital & facility affiliations
- Strong Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.27 of 100
- Quality
- 63.55
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23778 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 023778 | NY | MD | Otolaryngology Physician |
Interoperability endpoints
- mmauro146321@direct.urmc.rochester.edu
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Rochester, NY
- NPI 1679518088
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1366097693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVENUE BOX 629",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 S CLINTON AVE STE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182663",
"telephone_number": "585-758-5700",
"fax_number": "585-758-1299"
}
],
"practiceLocations": [
{
"address_1": "2365 S Clinton Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146182663",
"country_code": "US",
"telephone_number": "585-758-5700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAURO",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-05",
"last_updated": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "23778",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "023778",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "023778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366097693",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmauro146321@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmauro146321@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.