Active NPI
Matthew Funderburk, M.D.
- Cardiovascular Disease Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 230969
- Practice address
- 2365 S Clinton Ave
Suite 100
Rochester, NY 14618-2663 - Phone
- (585) 442-5320
- Fax
- (585) 442-5526
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 230969 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 230969 | NY | Primary |
Addresses
Primary practice location
2365 S Clinton Ave
Suite 100
Rochester, NY 14618-2663
Mailing address
2365 S Clinton Ave
Suite 100
Rochester, NY 14618-2663
Phone (585) 442-5320
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
- Cardiovascular Disease (Cardiology)
- Education
- University of Rochester School of Medicine and Dentistry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000
1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000
2365 Clinton S Ave
Suite 100
Rochester, NY 14618-2663
Phone (585) 389-6045
30 Hagen Dr
Suite 300
Rochester, NY 14625-2658
Phone (585) 338-2700
4302 Gateway Dr
Geneseo, NY 14454-9449
Phone (585) 922-1000
Hospital & facility affiliations
- Rochester General Hospital
- Strong Memorial Hospital
- United Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230969 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Internal Medicine | Current | Accepting new patients |
| Ultramobile Imaging Inc | Current | Accepting new patients | |
| Rochester General Hospital | Internal Medicine | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Internal Medicine | Current | Accepting new patients |
| Clifton Springs Sanitarium Co | Current | Accepting new patients | |
| Rochester General Hospital | Past | Accepting new patients |
Locations
2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472
4302 Gateway Dr
Geneseo, NY 14454
Phone (585) 295-5450
995 Senator Keating Blvd
Ste 100
Rochester, NY 14618
Phone (585) 241-6600
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
2365 S Clinton Ave
Ste 100
Rochester, NY 14618
Phone (585) 389-6045
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Interoperability endpoints
- mfunderburk13514@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.
-
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
Internal Medicine
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Internal Medicine Physician
- Sodus, NY
- NPI 1821163718
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Rochester, NY
- NPI 1770600876
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Batavia, NY
- NPI 1902800352
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1497765341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2365 S CLINTON AVE",
"address_2": "SUITE 100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182663",
"telephone_number": "585-442-5320",
"fax_number": "585-442-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 S CLINTON AVE",
"address_2": "SUITE 100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182663",
"telephone_number": "585-442-5320",
"fax_number": "585-442-5526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNDERBURK",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "230969",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "230969",
"primary": true
}
],
"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 Mar 26, 2013; 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.