Active NPI
Michael J Graney, M.D.
- Colon & Rectal Surgery Physician
- Rochester, NY
National Provider Identifier
1659332013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 109331
- Practice address
- 1736 Ridge Rd E
Rochester, NY 14622-2157 - Phone
- (585) 266-8401
- Fax
- (585) 266-2029
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 109331 | NY | |
| Colon & Rectal Surgery Physician | 208C00000X | 109331 | NY | Primary |
Addresses
Primary practice location
1736 Ridge Rd E
Rochester, NY 14622-2157
Mailing address
125 Lattimore Rd
Suite 270
Rochester, NY 14620-4159
Phone (585) 442-2075
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5913325 | Other | NY | AETNA |
| MD4B87 | Other | NY | PREFERRED CARE |
| 00453732 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109331 | NY | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester Colon and Rectal Surgeons, PC | Colon & Rectal Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Colon & Rectal Surgery Physician
- Rochester, NY
- NPI 1396702411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1659332013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 LATTIMORE RD",
"address_2": "SUITE 270",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204159",
"telephone_number": "585-442-2075",
"fax_number": "585-244-4298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1736 RIDGE RD E",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146222157",
"telephone_number": "585-266-8401",
"fax_number": "585-266-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANEY",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "109331",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NY",
"license": "109331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5913325",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "MD4B87",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00453732",
"state": "NY"
}
],
"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 Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.