Active NPI
Bryan J Stanistreet, MD
- Internal Medicine Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 276576
- Practice address
- 3101 W Ridge Rd BLDG C
Rochester, NY 14626 - Phone
- (585) 225-1700
- Fax
- (585) 225-1439
- NPI assigned
- Apr 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 276576 | NY | Primary |
Addresses
Primary practice location
3101 W Ridge Rd BLDG C
Rochester, NY 14626
Mailing address
3101 W Ridge Rd BLDG C
Rochester, NY 14626-3249
Phone (585) 225-1700
Other practice location 1
30 Hagen Dr Ste 310
Rochester, NY 14625-2658
Phone (585) 974-5330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04450506 | Medicaid | NY |
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
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
Practice addresses (Care Compare)
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122
30 Hagen Dr
Rochester, NY 14625-2658
Phone (585) 242-9450
Hospital & facility affiliations
- Rochester Regional Health Home Care
- Rochester General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276576 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Hospital of Rochester | Current | Accepting new patients | |
| Western New York Medical Practice P.C | Current | Accepting new patients | |
| Highland Hospital of Rochester | Internal Medicine | Current | Accepting new patients |
| Western New York Medical Practice P.C. | Internal Medicine | Current | Accepting new patients |
| Highland Hospital of Rochester | Current | Accepting new patients |
Locations
470 Collins St
Avon, NY 14414
Phone (585) 226-2640
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
913 Culver Rd
Rochester, NY 14609
Phone (585) 654-5432
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
30 Hagen Dr
Ste 310
Rochester, NY 14625
Phone (585) 641-0400
Interoperability endpoints
- bstanistreet306911@direct.rochesterregional.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
Internal Medicine
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1972548568
-
- Family Medicine Physician
- Rochester, NY
- NPI 1740220698
Internal Medicine
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1962725739
-
- Urgent Care Clinic/Center
- Rochester, NY
- NPI 1154834877
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rochester, NY
- NPI 1801819271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1598021677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 W RIDGE RD BLDG C",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146263249",
"telephone_number": "585-225-1700",
"fax_number": "585-225-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 W RIDGE RD BLDG C",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14626",
"telephone_number": "585-225-1700",
"fax_number": "585-225-1439"
}
],
"practiceLocations": [
{
"address_1": "30 Hagen Dr Ste 310",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146252658",
"country_code": "US",
"telephone_number": "585-974-5330",
"fax_number": "585-974-5339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANISTREET",
"first_name": "BRYAN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-03",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "276576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04450506",
"state": "NY"
}
],
"endpoints": [],
"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 Sep 2, 2020; 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.