Individual provider Active NPI

John Urban Coniglio, M.D.

  • Otolaryngology Physician
  • Rochester, NY
National Provider Identifier
1639133044
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
166760 Issued in NY
Practice address
1065 Senator Keating Boulevard
Suite 240
Rochester, NY 14618
Phone
(585) 256-3550
Fax
(585) 256-3554
NPI assigned
Apr 13, 2006
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 166760 NY Primary

Addresses

Primary practice location

1065 Senator Keating Boulevard
Suite 240
Rochester, NY 14618

Mailing address

1065 Senator Keating Blvd
Ste 240
Rochester, NY 14618-2600
Phone (585) 256-3550

Other identifiers 1

IdentifierTypeStateIssuer
01246524MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.coniglio@rochesterregional.org

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
I20090212000471 NY Practitioner - Otolaryngology 0749345452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Rochester School of Medicine and Dentistry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

77 Sullys TRL
Pittsford, NY 14534-3754
Phone (585) 248-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Upper gastrointestinal (GI) endoscopy for acid reflux16
Melanoma (skin cancer) excision1-10

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. CurrentSince Jun 7, 2021 Accepting new patients
Rochester General Hospital Past 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

Interoperability endpoints

  • Direct secure messaging: jconiglio14812@direct.rochesterregional.org

Organizations & group practices 3

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 2

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1639133044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 SENATOR KEATING BLVD",
            "address_2": "STE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182600",
            "telephone_number": "585-256-3550",
            "fax_number": "585-256-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 SENATOR KEATING BOULEVARD",
            "address_2": "SUITE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-256-3550",
            "fax_number": "585-256-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONIGLIO",
        "first_name": "JOHN",
        "middle_name": "URBAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "166760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01246524",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.coniglio@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1065 Senator Keating Boulevard",
            "address_2": "Suite 240",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.