Individual provider Active NPI

Anil Prabhakaran Pisharoty, MD

  • Anesthesiology Physician
  • Rego Park, NY
National Provider Identifier
1689782443
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2040881 Issued in NY
Practice address
92-29 Queens Blvd 1a
Rego Park, NY 11374
Phone
(201) 339-1700
NPI assigned
Aug 29, 2006
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 204088 NY
Anesthesiology Physician 207L00000X 2040881 NY Primary

Addresses

Primary practice location

92-29 Queens Blvd 1a
Rego Park, NY 11374

Mailing address

PO Box 79
Bayonne, NJ 07002-0079
Phone (201) 339-1700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address apisharoty50897@direct.urmc.rochester.edu Direct
Direct Messaging Address apisharoty50897@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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421001889 NY Practitioner - AnesthesiologyPractitioner - Pain Management 9335052240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U of R Anesthesiology GroupGroup PAC ID 3476451105, 340 clinicians

Practice addresses (Care Compare)

10 Miracle Mile Dr
Rochester, NY 14623-5851
Phone (585) 275-2141

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141

601 Elmwood Ave Box
Rochester, NY 14642-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2040881NYMDAnesthesiology Physician
204088NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Apr 22, 2018 Accepting new patients
U of R Anesthesiology Group Anesthesiology CurrentSince May 1, 2014 Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Apr 22, 2018 Accepting new patients
Somnia Medical, P.C. Past Accepting new patients
1155 Neuro Pain Services, PC Anesthesiology Past Accepting new patients
Park Ave Pain Treatment Center PC Anesthesiology Past Accepting new patients
Judah Schorr MD PC Anesthesiology Past Accepting new patients
Neuro Pain Care, P.C PastSince Nov 1, 2001 Accepting new patients
Modern Medical PLLC PastSince Dec 1, 2005 Accepting new patients

Locations

10 Miracle Mile Dr
Rochester, NY 14623
Phone (585) 272-7240

180 Sawgrass Dr
Ste 210
Rochester, NY 14620
Phone (585) 242-1300

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

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

Interoperability endpoints

  • Direct secure messaging: apisharoty50897@direct.urmc.rochester.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1689782443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070020079",
            "telephone_number": "201-339-1700",
            "fax_number": "201-339-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-29 QUEENS BLVD 1A",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "201-339-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISHAROTY",
        "first_name": "ANIL",
        "middle_name": "PRABHAKARAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "204088",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "2040881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apisharoty50897@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": "apisharoty50897@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 Rego Park, NY

Sources for this page

Verify at the official NPI Registry.