Thomas Robert Gregg, MD PHD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

255452 Issued in NY

Practice address

480 Genesee Street
Jordan Health at Woodward
Rochester, NY 14611

Phone

(585) 436-3040

Fax

(585) 328-3812

NPI assigned

Jun 10, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

University of Rochester School of Medicine and Dentistry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anthony L. Jordan Health CorporationGroup PAC ID 8729079785, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
• Highland Hospital Hospital, Rochester, NY, CCN 330164

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anthony L. Jordan Health Corporation

  dba Jordan at CCIA

  • Federally Qualified Health Center (FQHC)
  • Canandaigua, NY
  • NPI 1649529678
  Medicare reassignment Care Compare group
• Anthony L. Jordan Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1083716088
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Highland Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1972548568
  Care Compare affiliation
• University of Rochester

  dba Strong Memorial Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1346285657
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1669126090
  Care Compare affiliation

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1639339146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 HOLLAND STREET",
            "address_2": "ALJHC",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14605",
            "telephone_number": "585-423-5800",
            "fax_number": "585-423-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 GENESEE STREET",
            "address_2": "JORDAN HEALTH AT WOODWARD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14611",
            "telephone_number": "585-436-3040",
            "fax_number": "585-328-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "credential": "MD  PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "255452",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04028997",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Greer, MS, CCC/SLP
• Willow Dori Greer, M.S., CCC-SLP
• Tessa Greeson
• Scott R.W. Grefrath, LCSW-R
• Mary Helen Gregg, OT
• Patricia J Grego, NP
• Emma Margaret Gregory, ATC
• Jennifer A Gregory, RN, BSN
• Kaleigh Anne Gregory
• Julie Gregware

• Family Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.

Verify at the official NPI Registry.