Active NPI
Katherine Blumoff Greenberg, MD
- Pediatric Adolescent Medicine Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 262287
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03877396 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Rochester
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
| License | State | Type | Specialty |
|---|---|---|---|
| 57.013387 | OH | MD | Pediatrics Physician |
| 262287 | NY | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Rochester | Current | Accepting new patients | |
| Cardiac Surgery of the University of Rochester | Current | Accepting new patients | |
| Strong Obstetrics-Gynecology Group | Current | Accepting new patients | |
| Pediatrics & Adolescent Medicine Group | Adolescent Medicine | Current | 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 | Current | 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
- 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.
-
- Pediatric Adolescent Medicine Physician
- Rochester, NY
- NPI 1104861772
Adolescent Medicine, NY
-
- Obstetrics & Gynecology Physician
- Rochester, NY
- NPI 1184668311
NY
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
- Psychiatric Hospital Unit
- Rochester, NY
- NPI 1154482628
-
- Institutional Pharmacy
- Rochester, NY
- NPI 1255561783
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1336256155
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- Rehabilitation Hospital Unit
- Rochester, NY
- NPI 1366502098
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rochester, NY
- NPI 1508200817
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1558004531
-
- Home Infusion Therapy Pharmacy
- Rochester, NY
- NPI 1609314343
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.