Organization Active NPI

Greater Rochester Internal Medicine PLLC

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1649300245
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GREATER ROCHESTER INTERNAL MEDICINE PLLC
Practice address
1401 Stone Rd Ste 201
Rochester, NY 14615-1537
Phone
(585) 865-1110
Fax
(585) 865-1124
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Authorized official

Name
Dr. Anthony Ragusa, MDNPI 1962470229
Title
Principle
Phone
(585) 865-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1401 Stone Rd Ste 201
Rochester, NY 14615-1537

Mailing address

1401 Stone Rd Ste 201
Rochester, NY 14615-1537
Phone (585) 865-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090528000539 NY Part B Supplier - Clinic/Group Practice 9133278872 Receives reassigned benefits from 4 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

1401 Stone Rd
Ste 201
Rochester, NY 14615
Phone (585) 865-1100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1649300245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 STONE RD STE 201",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151537",
            "telephone_number": "585-865-1110",
            "fax_number": "585-865-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 STONE RD STE 201",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151537",
            "telephone_number": "585-865-1110",
            "fax_number": "585-865-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ROCHESTER INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "RAGUSA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "585-865-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.