Active NPI
Annamaria Kontor, M.D.
- Pediatrics Physician
- Penfield, NY
National Provider Identifier
1669484911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 227285
- Practice address
- 2067 Fairport Nine Mile Point Rd
Suite 110
Penfield, NY 14526-1752 - Phone
- (585) 922-0460
- Fax
- (585) 922-0470
- NPI assigned
- Aug 13, 2006
- Last updated
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 227285 | NY | Primary |
Addresses
Primary practice location
2067 Fairport Nine Mile Point Rd
Suite 110
Penfield, NY 14526-1752
Mailing address
90 Valewood Run
Penfield, NY 14526-2809
Phone (585) 388-7897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02377888 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227285 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trillium Health, Inc | Current | Accepting new patients | |
| Trillium Health, Inc | Current | Accepting new patients |
Locations
170 Science Pkwy
Rochester, NY 14620
Phone (585) 545-7200
259 Monroe Ave
Rochester, NY 14607
Phone (585) 325-2280
Interoperability endpoints
- akontor566067@direct.urmc.rochester.edu
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Rochester, NY
- NPI 1861496358
-
- Federally Qualified Health Center (FQHC)
- Rochester, NY
- NPI 1265098941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1669484911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 VALEWOOD RUN",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145262809",
"telephone_number": "585-388-7897",
"fax_number": "585-388-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2067 FAIRPORT NINE MILE POINT RD",
"address_2": "SUITE 110",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261752",
"telephone_number": "585-922-0460",
"fax_number": "585-922-0470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONTOR",
"first_name": "ANNAMARIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "227285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02377888",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.