NPIMap

Individual provider Active NPI

Vithal Vic Vernenkar, D.O.

  • Surgery Physician
  • Rochester, NY
National Provider Identifier
1447274105
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
223396 Issued in NY
Practice address
1415 Portland Ave
Rochester, NY 14621-3038
Phone
(585) 922-2473
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 223396 NY Primary

Addresses

Primary practice location

1415 Portland Ave
Rochester, NY 14621-3038

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-1469

Other identifiers 1

IdentifierTypeStateIssuer
02316741MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vvernenkar122553@direct.rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505001399 NY Practitioner - General SurgeryPractitioner - Peripheral Vascular DiseasePractitioner - Vascular Surgery 6204824352 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Peripheral Vascular Disease, Vascular Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newark Wayne Community HospitalGroup PAC ID 0446154199, 129 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians

Practice addresses (Care Compare)

1200 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2266

1208 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 359-2640

1250 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2427

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1305

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

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

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
Colonoscopy1-10
Hernia repair - groin (open)18
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue243
Removal of skin lesions62
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223396NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jul 1, 2013 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jan 1, 2016 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Jan 1, 2016 Accepting new patients
Rochester General Hospital Surgery CurrentSince Jul 1, 2013 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jan 1, 2016 Accepting new patients
Western New York Medical Practice P.C. Surgery CurrentSince Jan 12, 2019 Accepting new patients
Rochester General Hospital Current Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741

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

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

Interoperability endpoints

  • Direct secure messaging: vvernenkar122553@direct.rochesterregional.org

Organizations & group practices 7

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 5

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1447274105",
    "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": "585-922-1469",
            "fax_number": "585-922-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213038",
            "telephone_number": "585-922-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNENKAR",
        "first_name": "VITHAL",
        "middle_name": "VIC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "223396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02316741",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vvernenkar122553@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "1415 Portland Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.