NPIMap

Individual provider Active NPI

Mark Gonzalez Ettel, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rochester, NY
National Provider Identifier
1649614520
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
293012 Issued in NY
Practice address
601 Elmwood Avenue
University of Rochester Medical Center,
Rochester, NY 14642-0001
Phone
(585) 275-3191
Fax
(585) 273-3637
NPI assigned
Apr 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 4301111405 MI
Anatomic Pathology Physician 207ZP0101X 293012 NY
Student in an Organized Health Care Education/Training Program 390200000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 293012 NY Primary

Addresses

Primary practice location

601 Elmwood Avenue
University of Rochester Medical Center,
Rochester, NY 14642-0001

Mailing address

601 Elmwood Avenue, Box 626
Urmc
Rochester, NY 14642-0001
Phone (585) 275-3191

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mettel137670@direct.urmc.rochester.edu Direct
Direct Messaging Address mettel137670@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180516003042 NY Practitioner - Pathology 3173892718 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Creighton University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Hospital of RochesterGroup PAC ID 5496641631, 403 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians
St James HospitalGroup PAC ID 0345154480, 130 clinicians

Practice addresses (Care Compare)

1000 S Ave
Suite 116
Rochester, NY 14620-2733
Phone (585) 341-6732

111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-8639

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

191 N Main St
Wellsville, NY 14895-1150
Phone (585) 596-0145

350 Parrish St
Canandaigua, NY 14424-1731
Phone (585) 396-6000

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

7309 Seneca Rd N
Hornell, NY 14843-9691

7329 Seneca Rd N
Hornell, NY 14843-9684
Phone (607) 247-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.2 of 100Reported as group
Quality
60.03
Promoting interoperability
99
Improvement activities
40
Cost
73.33

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as group
Quality
64.11
Promoting interoperability
99
Improvement activities
40
Cost
78.12

Merit-based Incentive Payment System (MIPS)

Final score
89.84 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
81.1

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
77.37
Promoting interoperability
99
Improvement activities
40
Cost
71.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Dec 22, 2019 Accepting new patients
Nicholas H. Noyes Memorial Hospital CurrentSince Aug 31, 2022 Accepting new patients
University of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2018 Accepting new patients
University of Rochester CurrentSince Jul 1, 2018 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Hematology Clinical Group Current Accepting new patients
St James Hospital CurrentSince Aug 4, 2019 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester Anatomic Pathology CurrentSince Jul 1, 2018 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2018 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 27, 2019 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Dec 22, 2019 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 27, 2019 Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

73 Buffalo St
Ste 100
Canandaigua, NY 14424

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

601 Elmwood Ave
#320
Rochester, NY 14642

1000 South Ave
Ste 116
Rochester, NY 14620
Phone (585) 341-6732

601 Elmwood Ave
#626
Rochester, NY 14642
Phone (585) 273-4135

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1649614520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVENUE, BOX 626",
            "address_2": "URMC",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-3191",
            "fax_number": "585-273-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVENUE",
            "address_2": "UNIVERSITY OF ROCHESTER MEDICAL CENTER,",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-3191",
            "fax_number": "585-273-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTEL",
        "first_name": "MARK",
        "middle_name": "GONZALEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MI",
            "license": "4301111405",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "293012",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "293012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mettel137670@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mettel137670@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.