Active NPI
Leo F Stornelli, MD
- Family Medicine Physician
- Rochester, NY
National Provider Identifier
1366497034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 75335
- Practice address
- 800 Carter St
Rochester, NY 14621-2604 - Phone
- (585) 342-9514
- Fax
- (585) 544-1742
- NPI assigned
- May 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 75335 | NY | Primary |
Addresses
Primary practice location
800 Carter St
Rochester, NY 14621-2604
Mailing address
800 Carter St
Rochester, NY 14621-2604
Phone (585) 342-9514
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075335-0B | Other | NY | WORKERS COMP # |
| P010075335 | Other | NY | BLUE CHOICE # |
| 0114025 | Other | NY | IHA # |
| 060329000059 | Other | NY | FIDELIS CARE # |
| 8520 | Other | NY | SIDNEY HILLMAN # |
| 100441BF | Other | NY | PREFERRED CARE # |
| 00027230101 | Other | NY | UNIVERA # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75335 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesee Valley Group Health Association | Past | Accepting new patients |
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.
-
- Clinic Pharmacy
- Rochester, NY
- NPI 1962591875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1366497034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CARTER ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146212604",
"telephone_number": "585-342-9514",
"fax_number": "585-544-1742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CARTER ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146212604",
"telephone_number": "585-342-9514",
"fax_number": "585-544-1742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORNELLI",
"first_name": "LEO",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "75335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP #",
"identifier": "075335-0B",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE #",
"identifier": "P010075335",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA #",
"identifier": "0114025",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE #",
"identifier": "060329000059",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIDNEY HILLMAN #",
"identifier": "8520",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE #",
"identifier": "100441BF",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA #",
"identifier": "00027230101",
"state": "NY"
}
],
"endpoints": [],
"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 Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.