Individual provider Active NPI

Shri Noel, M.D.

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1417272808
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
279047 Issued in NY
Practice address
400 White Spruce Blvd
Suite a
Rochester, NY 14623-1619
Phone
(585) 427-9950
Fax
(585) 424-2788
NPI assigned
Mar 29, 2010
Last updated
May 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 279047 NY Primary

Addresses

Primary practice location

400 White Spruce Blvd
Suite a
Rochester, NY 14623-1619

Mailing address

400 White Spruce Blvd
Suite a
Rochester, NY 14623-1619
Phone (585) 427-9950

Other identifiers 1

IdentifierTypeStateIssuer
04270664MedicaidNY

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
I20151102000739 NY Practitioner - Internal Medicine 8224348313 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Jul 1, 2015 Accepting new patients
University of Rochester Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Highland Hospital of Rochester Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2015 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

800 Ayrault Rd
Ste 200
Fairport, NY 14450
Phone (585) 425-7460

2300 W Jefferson Rd
Ste 400
Pittsford, NY 14534
Phone (585) 602-0500

2400 S Clinton Ave
#G
Rochester, NY 14618
Phone (585) 341-7685

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

400 White Spruce Blvd
Ste A
Rochester, NY 14623
Phone (585) 427-9950

913 Culver Rd
Rochester, NY 14609
Phone (585) 654-5432

Interoperability endpoints

  • Direct secure messaging: snoel13571@direct.urmc.rochester.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1417272808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WHITE SPRUCE BLVD",
            "address_2": "SUITE A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231619",
            "telephone_number": "585-427-9950",
            "fax_number": "585-424-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WHITE SPRUCE BLVD",
            "address_2": "SUITE A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231619",
            "telephone_number": "585-427-9950",
            "fax_number": "585-424-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEL",
        "first_name": "SHRI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "279047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04270664",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.