NPIMap

Individual provider Active NPI

Michael Daniel Mancenido, D.O.

  • Infectious Disease Physician
  • Rochester, NY
National Provider Identifier
1669536496
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
242401 Issued in NY
Practice address
259 Monroe Avenue
Rochester, NY 14607-3632
Phone
(585) 545-7200
Fax
(585) 244-6456
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 242401 NY Primary

Addresses

Primary practice location

259 Monroe Avenue
Rochester, NY 14607-3632

Mailing address

259 Monroe Avenue
Rochester, NY 14607-3632
Phone (585) 545-7200

Other names 1

  • Michael D Mancenido Other name

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
I20070621000157 NY Practitioner - Internal MedicinePractitioner - Infectious Disease 0042319766 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
University of New England, College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

127 N St
Batavia, NY 14020-1631

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 429-2289

1561 Long Pond Rd
Suite 414
Rochester, NY 14626-4117
Phone (585) 723-7750

1565 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7366

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

16 Bank St
Batavia, NY 14020-2250
Phone (585) 344-4800

229 Summit St
Batavia, NY 14020-1645

55 Genesee St
Rochester, NY 14611-3201
Phone (585) 368-3506

65 Genesee St
Rochester, NY 14611-3201
Phone (585) 368-3531

75 Genesee St
FL 2
Rochester, NY 14611-3201
Phone (585) 368-3380

89 Genesee St
Rochester, NY 14611-3201
Phone (585) 723-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester Current Accepting new patients
United Memorial Medical Center Current Accepting new patients
Trillium Health, Inc CurrentSince Dec 4, 2006 Accepting new patients
Trillium Health, Inc CurrentSince Dec 4, 2006 Accepting new patients
The Unity Hospital of Rochester CurrentSince Nov 13, 2021 Accepting new patients
United Memorial Medical Center CurrentSince Nov 13, 2021 Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

259 Monroe Ave
Rochester, NY 14607
Phone (585) 325-2280

Interoperability endpoints

  • Direct secure messaging: mmancenido327468@direct.rochesterregional.org

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1669536496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MONROE AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073632",
            "telephone_number": "585-545-7200",
            "fax_number": "585-244-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MONROE AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073632",
            "telephone_number": "585-545-7200",
            "fax_number": "585-244-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCENIDO",
        "first_name": "MICHAEL",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "242401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "MANCENIDO",
            "middle_name": "D",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.