Individual provider Active NPI

Gopiram M Pansari, MD

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1548335722
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
137424 Issued in NY
Practice address
1561 Long Pond Rd Ste 202
Rochester, NY 14626-4135
Phone
(585) 723-7778
Fax
(585) 723-7925
NPI assigned
Nov 22, 2006
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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 137424 NY Primary

Addresses

Primary practice location

1561 Long Pond Rd Ste 202
Rochester, NY 14626-4135

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-0553

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
I20031218000301 NY Practitioner - Internal Medicine 9436056256 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. Internal Medicine CurrentSince Dec 17, 2018 Accepting new patients
Rochester General Hospital CurrentSince Dec 17, 2018 Accepting new patients
Rochester General Hospital Internal Medicine CurrentSince Dec 17, 2018 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 4, 2021 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 4, 2021 Accepting new patients
MC Cabe Et Al MDS Internal Medicine Past Accepting new patients
Ruth Odoi Medical PLLC Internal Medicine PastSince Jan 1, 2026 Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1561 Long Pond Rd
Ste 202
Rochester, NY 14626
Phone (585) 723-7778

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1548335722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 LONG POND RD STE 202",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264135",
            "telephone_number": "585-723-7778",
            "fax_number": "585-723-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANSARI",
        "first_name": "GOPIRAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "137424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.