Individual provider Active NPI

William Raymond Morehouse, M.D.

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1396735007
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
116946 Issued in NY
Practice address
340 Arnett Blvd
Rochester, NY 14619-1147
Phone
(585) 235-2250
Fax
(585) 235-0011
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 116946 NY Primary

Addresses

Primary practice location

340 Arnett Blvd
Rochester, NY 14619-1147

Mailing address

340 Arnett Blvd
Rochester, NY 14619-1147
Phone (585) 235-2250

Other identifiers 6

IdentifierTypeStateIssuer
7700126OtherUNITED HEALTH CARE
000587556004OtherNYHEALTHY NY
00480240MedicaidNY
100666BFOtherNYPREFERRED CARE
3853OtherNYBC/BS OF ROCHESTER
5058322OtherNYAETNA

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
I20050902000507 NY Practitioner - Family Practice 0042242612 Reassigns benefits to 1 organization
Practice locations: Rochester, NY

National Provider Directory

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396735007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ARNETT BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146191147",
            "telephone_number": "585-235-2250",
            "fax_number": "585-235-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ARNETT BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146191147",
            "telephone_number": "585-235-2250",
            "fax_number": "585-235-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREHOUSE",
        "first_name": "WILLIAM",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "116946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "7700126",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY NY",
            "identifier": "000587556004",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00480240",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "100666BF",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ROCHESTER",
            "identifier": "3853",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5058322",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.