Individual provider Active NPI

Roopa M Korni, MD

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1629272810
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
253455 Issued in NY
Practice address
2450 W Ridge Rd
Ste 202
Rochester, NY 14626-3037
Phone
(585) 413-3520
Fax
(585) 360-4181
NPI assigned
Jun 12, 2007
Last updated
Oct 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 253455 NY Primary

Addresses

Primary practice location

2450 W Ridge Rd
Ste 202
Rochester, NY 14626-3037

Mailing address

2450 W Ridge Rd
Ste 202
Rochester, NY 14626-3037
Phone (585) 413-3520

Other identifiers 2

IdentifierTypeStateIssuer
1265776181OtherNYMEDICAIRE NPI
03127759MedicaidNY

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
I20090902000500 NY Practitioner - Family Practice 7113072752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1790 Long Pond Rd
Rochester, NY 14606-4032
Phone (585) 413-3520

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

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. Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2018 Accepting new patients
Roopa M Korni Physician PLLC Family Medicine CurrentSince Aug 20, 2012 Accepting new patients
Rochester General Hospital Family Medicine Current Accepting new patients
Rochester General Hospital Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Internal Medicine at Lakeside Past Accepting new patients

Locations

100 Ohio St
Ste C
Medina, NY 14103
Phone (585) 589-1322

77 Sullys Trl
Pittsford, NY 14534
Phone (585) 248-5300

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

1790 Long Pond Rd
Rochester, NY 14606
Phone (585) 413-3520

2450 W Ridge Rd
Ste 202
Rochester, NY 14626
Phone (585) 413-3520

2745 W Ridge Rd
Rochester, NY 14626
Phone (585) 225-5252

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 3

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1629272810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W RIDGE RD",
            "address_2": "STE 202",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263037",
            "telephone_number": "585-413-3520",
            "fax_number": "585-360-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W RIDGE RD",
            "address_2": "STE 202",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263037",
            "telephone_number": "585-413-3520",
            "fax_number": "585-360-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNI",
        "first_name": "ROOPA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "253455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAIRE NPI",
            "identifier": "1265776181",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03127759",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.