Individual provider Active NPI

Matthew Funderburk, M.D.

  • Cardiovascular Disease Physician
  • Rochester, NY
National Provider Identifier
1497765341
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
230969 Issued in NY
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

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831001162 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8325013527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 2001
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)

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 Hospital, Rochester, NY, CCN 330125
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230969NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Ultramobile Imaging Inc CurrentSince Jul 1, 2013 Accepting new patients
Rochester General Hospital Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2015 Accepting new patients
Rochester General Hospital Internal Medicine Current Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Nov 11, 2020 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.