Individual provider Active NPI

Emily Klosterman, DO

  • Surgery Physician
  • Rochester, NY
National Provider Identifier
1467956912
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
340595 Issued in NY
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

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222000133 NY Practitioner - General Surgery 1557856150 Reassigns benefits to 3 organizations

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
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.170532ILMDSurgery Physician
340595NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Surgery CurrentSince Dec 8, 2025 Accepting new patients
Rochester General Hospital CurrentSince Dec 8, 2025 Accepting new patients
The Unity Hospital of Rochester CurrentSince Dec 8, 2025 Accepting new patients
Western New York Medical Practice P.C. Surgery CurrentSince Dec 8, 2025 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.

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": "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

Verify at the official NPI Registry.