Individual provider Active NPI

Paul James Hartman, MD

  • Ophthalmology Physician
  • Rochester, NY
National Provider Identifier
1447254917
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
207199 Issued in NY
Practice address
2100 Clinton Ave S
Rochester, NY 14618-2616
Phone
(585) 244-6011
Fax
(585) 244-0236
NPI assigned
Jun 13, 2005
Last updated
Aug 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 207199 NY Primary

Addresses

Primary practice location

2100 Clinton Ave S
Rochester, NY 14618-2616

Mailing address

2100 Clinton Ave S
Rochester, NY 14618-2616
Phone (585) 244-6011

Other identifiers 5

IdentifierTypeStateIssuer
180030304OtherNYRAILROAD MEDICARE
P010207199OtherNYBCBS
1073577961OtherNYEXCELLUS BCBS
01760503MedicaidNY
1447254917OtherNYMVP

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
I20110201000060 NY Practitioner - Ophthalmology 9537224340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2100 Clinton S Ave
Rochester, NY 14618-2616
Phone (585) 244-6011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207199NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Ophthalmological Group, P.C. Ophthalmology CurrentSince Jul 28, 1997 Accepting new patients
Rochester Ophthalmological Group CurrentSince Jul 28, 1997 Accepting new patients

Locations

2100 S Clinton Ave
Rochester, NY 14618
Phone (585) 244-6011

2300 W Ridge Rd
Ste 102
Rochester, NY 14626

Interoperability endpoints

  • Direct secure messaging: phartman@rogeyecare.medentdirect.com

Organizations & group practices 2

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1447254917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182616",
            "telephone_number": "585-244-6011",
            "fax_number": "585-244-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182616",
            "telephone_number": "585-244-6011",
            "fax_number": "585-244-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "207199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180030304",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P010207199",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS",
            "identifier": "1073577961",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01760503",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "1447254917",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.