Individual provider Active NPI

Katherine Blumoff Greenberg, MD

  • Pediatric Adolescent Medicine Physician
  • Rochester, NY
National Provider Identifier
1497929806
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
262287 Issued in NY
Practice address
601 Elmwood Ave
Rochester, NY 14642-1716
Phone
(585) 275-2964
Fax
(585) 242-9733
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 57.013387 OH
Pediatric Adolescent Medicine Physician 2080A0000X 262287 NY Primary

Addresses

Primary practice location

601 Elmwood Ave
Rochester, NY 14642-1716

Mailing address

601 Elmwood Ave Box 635
Rochester, NY 14642-0001
Phone (585) 275-2964

Other practice location 1

11100 Euclid Ave
Department of Family Medicine
Cleveland, OH 44106-1716
Phone (216) 844-1000

Other practice location 2

601 Elmwood Ave
Rochester, NY 14642-1716
Phone (585) 275-2964

Other identifiers 1

IdentifierTypeStateIssuer
03877396MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kgreenberg46800@direct.urmc.rochester.edu Direct
Direct Messaging Address kgreenberg46800@direct.urmc.rochester.edu Direct

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
I20140624001422 NY Practitioner - Pediatric Medicine 2860616315 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Rochester School of Medicine and Dentistry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

160 Sawgrass Dr
Rochester, NY 14620-4656
Phone (585) 262-9100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.013387OHMDPediatrics Physician
262287NYMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Nov 1, 2014 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Strong Obstetrics-Gynecology Group CurrentSince Nov 22, 2014 Accepting new patients
Pediatrics & Adolescent Medicine Group Adolescent Medicine CurrentSince Nov 22, 2014 Accepting new patients
Reproductive Endocrinology Infertility GP of Univ of Roch Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University of Rochester CurrentSince Nov 1, 2014 Accepting new patients
University of Rochester Current Accepting new patients

Locations

160 Sawgrass Dr
Rochester, NY 14620
Phone (585) 262-9100

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

125 Lattimore Rd
Ste 150
Rochester, NY 14620
Phone (585) 275-2691

601 Elmwood Ave
#635
Rochester, NY 14642
Phone (585) 275-2821

Interoperability endpoints

  • Direct secure messaging: kgreenberg46800@direct.urmc.rochester.edu

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1497929806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 635",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2964",
            "fax_number": "585-242-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146421716",
            "telephone_number": "585-275-2964",
            "fax_number": "585-242-9733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Ave",
            "address_2": "Department of Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146421716",
            "country_code": "US",
            "telephone_number": "585-275-2964",
            "fax_number": "585-242-9733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "KATHERINE",
        "middle_name": "BLUMOFF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "57.013387",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "262287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03877396",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgreenberg46800@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgreenberg46800@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.