Individual provider Active NPI

Michael Gruttadauria, DPM

  • Foot Surgery Podiatrist
  • Rochester, NY
National Provider Identifier
1386601367
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
006156 Issued in NY
Practice address
1081 Long Pond Rd
Suite 130
Rochester, NY 14626-5002
Phone
(585) 723-3630
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 6156 NY
Foot Surgery Podiatrist 213ES0131X 006156 NY Primary

Addresses

Primary practice location

1081 Long Pond Rd
Suite 130
Rochester, NY 14626-5002

Mailing address

3400 Autumn Wood Dr
Macedon, NY 14502-8700
Phone (315) 538-8405

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mgruttadauria76409@direct.urmc.rochester.edu Direct
Direct Messaging Address mgruttadauria76409@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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060818000465 NY Practitioner - Podiatry 9032112743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Orthopaedic Associates of RochesterGroup PAC ID 7012909161, 149 clinicians

Practice addresses (Care Compare)

2225 Clinton Ave S
Rochester, NY 14618-2664
Phone (585) 473-5051

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions19
Removal of nail tissue1033
Removal or shaving of skin growth58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6156NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopaedic Associates of Rochester Current Accepting new patients
University Orthopaedic Associates of Rochester CurrentSince Mar 1, 2017 Accepting new patients
University Orthopaedic Associates of Rochester CurrentSince Mar 1, 2017 Accepting new patients
Eastside Podiatry Foot Surgery PastSince Jun 12, 2002 Accepting new patients

Locations

2225 S Clinton Ave
Rochester, NY 14618
Phone (585) 473-5051

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#665
Rochester, NY 14642
Phone (585) 275-5168

2300 W Ridge Rd
Ste 202
Rochester, NY 14626
Phone (585) 723-3630

1672 Empire Blvd
Ste 100
Webster, NY 14580
Phone (585) 276-8590

Interoperability endpoints

  • Direct secure messaging: mgruttadauria76409@direct.urmc.rochester.edu

Organizations & group practices 4

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 2

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1386601367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 AUTUMN WOOD DR",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028700",
            "telephone_number": "315-538-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 LONG POND RD",
            "address_2": "SUITE 130",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265002",
            "telephone_number": "585-723-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUTTADAURIA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "6156",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "006156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgruttadauria76409@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": "mgruttadauria76409@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

Verify at the official NPI Registry.