Active NPI
Emily Klosterman, DO
- Surgery Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 340595
- Practice address
- 1415 Portland Ave Ste 245
Rochester, NY 14621-3022 - Phone
- (585) 922-4715
- Fax
- (585) 453-2185
- NPI assigned
- Mar 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 340595 | NY | Primary |
| Surgery Physician | 208600000X | 036.170532 | IL |
Addresses
Primary practice location
1415 Portland Ave Ste 245
Rochester, NY 14621-3022
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Other practice location 1
20 Hagen Dr Ste 320
Rochester, NY 14625-2664
Phone (585) 922-4715
Other practice location 2
4440 W 95th St
Oak Lawn, IL 60453-2600
Phone (708) 684-8000
Other practice location 3
1561 Long Pond Rd Ste 110
Rochester, NY 14626-4136
Phone (585) 922-4715
Other practice location 4
4302 Gateway Dr
Geneseo, NY 14454-9449
Phone (585) 922-4715
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Portland Ave
Rochester, NY 14621-3022
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000
1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000
Hospital & facility affiliations
- Rochester General Hospital
- Unity Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.170532 | IL | MD | Surgery Physician |
| 340595 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Surgery | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Surgery | Current | Accepting new patients |
| Rochester General Hospital | Past | Accepting new patients |
Locations
4302 Gateway Dr
Geneseo, NY 14454
Phone (585) 295-5450
20 Hagen Dr
Ste 320
Rochester, NY 14625
Phone (585) 922-4712
1415 Portland Ave
Ste 245
Rochester, NY 14621
Phone (585) 922-4715
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
1561 Long Pond Rd
Ste 110
Rochester, NY 14626
Phone (585) 723-1510
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
Surgery
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rochester, NY
- NPI 1336366822
Hospital
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1477798189
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rochester, NY
- NPI 1689891178
Hospital
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Rochester, NY
- NPI 1730237603
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1467956912",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE STE 245",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213022",
"telephone_number": "585-922-4715",
"fax_number": "585-453-2185"
}
],
"practiceLocations": [
{
"address_1": "20 Hagen Dr Ste 320",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146252664",
"country_code": "US",
"telephone_number": "585-922-4715",
"fax_number": "585-922-3950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4440 W 95th St",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532600",
"country_code": "US",
"telephone_number": "708-684-8000",
"fax_number": "708-499-0948",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1561 Long Pond Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146264136",
"country_code": "US",
"telephone_number": "585-922-4715",
"fax_number": "585-922-3950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4302 Gateway Dr",
"address_purpose": "LOCATION",
"city": "Geneseo",
"state": "NY",
"postal_code": "144549449",
"country_code": "US",
"telephone_number": "585-922-4715",
"fax_number": "585-922-3950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLOSTERMAN",
"first_name": "EMILY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-20",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "340595",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036.170532",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.