Individual provider Active NPI

Shelly M. Kane, M.D.

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1528005709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
202188 Issued in NY
Practice address
1850 Ridge Rd E
Rochester, NY 14622-2448
Phone
(585) 342-3870
Fax
(585) 342-7938
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 202188 NY Primary

Addresses

Primary practice location

1850 Ridge Rd E
Rochester, NY 14622-2448

Mailing address

1850 Ridge Rd E
Rochester, NY 14622-2448
Phone (585) 342-3870

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
I20110322000045 NY Practitioner - Internal Medicine 8921009630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgeview Internal Medicine Group LLPGroup PAC ID 4587665294, 6 clinicians

Practice addresses (Care Compare)

1850 E Ridge Rd
Suite 1
Rochester, NY 14622-2475
Phone (585) 342-3870

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202188NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeview Internal Medicine Group, LLP Internal Medicine CurrentSince Jul 1, 2000 Accepting new patients

Locations

1850 E Ridge Rd
Ste 1
Rochester, NY 14622
Phone (585) 342-3870

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10568/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shelly.kane.1@10568.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528005709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 RIDGE RD E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222448",
            "telephone_number": "585-342-3870",
            "fax_number": "585-342-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 RIDGE RD E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222448",
            "telephone_number": "585-342-3870",
            "fax_number": "585-342-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "SHELLY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "202188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.