Individual provider Active NPI

Matthew Truong, M.D.

  • Urology Physician
  • Rochester, NY
National Provider Identifier
1417290362
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
282614 Issued in NY
Practice address
2615 Culver Rd
Rochester, NY 14609-1716
Phone
(585) 336-5320
Fax
(585) 336-9114
NPI assigned
Mar 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 282614 NY Primary

Addresses

Primary practice location

2615 Culver Rd
Rochester, NY 14609-1716

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 336-5320

Other practice location 1

2420 Ridgeway Ave
Rochester, NY 14626-4114
Phone (585) 227-4000

Other practice location 2

80 West Ave Ste 100
Brockport, NY 14420-1309
Phone (585) 637-7200

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
I20210816000679 NY Practitioner - Urology 2860738317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians

Practice addresses (Care Compare)

2615 Culver Rd
Suite 100
Rochester, NY 14609-1716
Phone (585) 336-5320

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Unity Hospital Hospital, Rochester, NY, CCN 330226

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection59
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282614NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C CurrentSince Aug 21, 2021 Accepting new patients
Rochester Urology Group, PLLC Urology CurrentSince Aug 15, 2021 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Aug 21, 2021 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

80 West Ave
Ste 100
Brockport, NY 14420
Phone (585) 637-7200

2615 Culver Rd
Ste 100
Rochester, NY 14609
Phone (585) 336-5320

2420 Ridgeway Ave
Rochester, NY 14626
Phone (585) 227-4000

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

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

2615 Culver Rd
Rochester, NY 14609
Phone (585) 336-5320

625 Panorama Trl
Bldg 3
Rochester, NY 14625
Phone (585) 276-9361

Interoperability endpoints

  • Direct secure messaging: mtruong@cfu.medentdirect.com

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 7

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1417290362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-336-5320",
            "fax_number": "585-336-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CULVER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146091716",
            "telephone_number": "585-336-5320",
            "fax_number": "585-336-9114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2420 Ridgeway Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264114",
            "country_code": "US",
            "telephone_number": "585-227-4000",
            "fax_number": "585-227-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 West Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brockport",
            "state": "NY",
            "postal_code": "144201309",
            "country_code": "US",
            "telephone_number": "585-637-7200",
            "fax_number": "585-637-6792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "282614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.