Alex Ibrahim Fahoury, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

237262 Issued in NY

Practice address

122 West Ave Ste 6B
Brockport, NY 14420-1225

Phone

(585) 391-3040

Fax

(585) 625-0070

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCR / HCR Home Care Chha (Rochester) Home health agency, Rochester, NY, CCN 337257
• Rochester Regional Health Home Care Home health agency, Rochester, NY, CCN 337066
• Rochester General Hospital Hospital, Rochester, NY, CCN 330125
• Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
• Medina Memorial Hospital Hospital, Medina, NY, CCN 331319

Merit-based Incentive Payment System (MIPS)

Final score

91.07 of 100Reported as individual

Quality

90.69

Promoting interoperability

99

Improvement activities

40

Cost

74.62

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21016/brand/1/csg/1/fhir/r4
• Direct secure messaging: alex.fahoury.1@21016.direct.athenahealth.com

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.

• Brockport Vine Medical PC

  • Internal Medicine Physician
  • Brockport, NY
  • NPI 1871144543
  Medicare reassignment NPD Authorized official
• Cogent Medical Care PC

  • Internal Medicine Physician
  • East Patchogue, NY
  • NPI 1912941238
  Medicare reassignment NPD
• University of Rochester

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1710226824
  Medicare reassignment NPD
• Apogee Medical Group, New York, PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1841520236

  NY

  Medicare reassignment NPD
• University of Rochester

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1598476269
  NPD
• Department of Medicine Faculty Practice

  • Neuromusculoskeletal Medicine & OMM Physician
  • Rochester, NY
  • NPI 1851348809

  Internal Medicine

  NPD (past)
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1528940962
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Genesee Region Home Care Association Inc.

  • Home Health Agency
  • Rochester, NY
  • NPI 1801819271
  Care Compare affiliation
• L Woerner Inc

  • Home Health Agency
  • Rochester, NY
  • NPI 1407083033
  Care Compare affiliation
• L Woerner Inc

  • Home Health Agency
  • Rochester, NY
  • NPI 1649285354
  Care Compare affiliation
• Orleans Community Health

  • Critical Access Hospital
  • Medina, NY
  • NPI 1609873520
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1346285657
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1669126090
  Care Compare affiliation

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1467406934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WEST AVE STE 6B",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201225",
            "telephone_number": "585-391-3040",
            "fax_number": "585-625-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WEST AVE STE 6B",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201225",
            "telephone_number": "585-391-3040",
            "fax_number": "585-625-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHOURY",
        "first_name": "ALEX",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marie Fanham, LMT
• Lisa Fanton, LPN
• Justin D Farnsworth, PT.,DPT
• Natalia Z Farnsworth, DPT
• Karyn Felice, NP

• Internal Medicine Physician in Brockport, NY
• Providers in Brockport, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.