Individual provider Active NPI

Daniel Vieira Lighthouse, M.D.

  • Internal Medicine Physician
  • Spencerport, NY
National Provider Identifier
1528412897
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
297457-1 Issued in NY
Practice address
42 Nichols St Ste 10
Spencerport, NY 14559-2196
Phone
(585) 637-7558
Fax
(585) 637-7566
NPI assigned
Apr 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 297457 NY
Internal Medicine Physician 207R00000X 297457-1 NY Primary

Addresses

Primary practice location

42 Nichols St Ste 10
Spencerport, NY 14559-2196

Mailing address

42 Nichols St Ste 10
Spencerport, NY 14559-2196
Phone (585) 637-7558

Other practice location 1

601 Elmwood Ave
Box MED
Rochester, NY 14642-0001
Phone (585) 275-2222

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dlighthouse79374@direct.urmc.rochester.edu Direct
Direct Messaging Address dlighthouse79374@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
I20190529000453 NY Practitioner - Internal Medicine 1052664380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

156 W Ave
Brockport, NY 14420-1229
Phone (585) 637-7558

2400 Clinton S Ave F
Rochester, NY 14618-2668
Phone (585) 244-7200

2400 Clinton S Ave G
Rochester, NY 14618-2668
Phone (585) 341-7685

2400 Clinton S Ave H
Rochester, NY 14618-2668
Phone (585) 341-7143

2400 S Clinton Ave
BLDG H
Rochester, NY 14618-2668
Phone (585) 341-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
297457NYMDSchool Psychologist
297457-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Medical Group Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
University of Rochester CurrentSince Jul 1, 2019 Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2019 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
University of Rochester Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Highland Hospital of Rochester Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

3669 Countryside Ln
Marion, NY 14505
Phone (315) 926-7733

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

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

42 Nichols St
Ste 10
Spencerport, NY 14559
Phone (585) 349-7094

Interoperability endpoints

  • Direct secure messaging: dlighthouse79374@direct.urmc.rochester.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1528412897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 NICHOLS ST STE 10",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145592196",
            "telephone_number": "585-637-7558",
            "fax_number": "585-637-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 NICHOLS ST STE 10",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145592196",
            "telephone_number": "585-637-7558",
            "fax_number": "585-637-7566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Elmwood Ave",
            "address_2": "Box MED",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420001",
            "country_code": "US",
            "telephone_number": "585-275-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHTHOUSE",
        "first_name": "DANIEL",
        "middle_name": "VIEIRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "297457",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "297457-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlighthouse79374@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": "dlighthouse79374@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 Spencerport, NY

Sources for this page

Verify at the official NPI Registry.