Active NPI
Anil Prabhakaran Pisharoty, MD
- Anesthesiology Physician
- Rego Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2040881
- Practice address
- 92-29 Queens Blvd 1a
Rego Park, NY 11374 - Phone
- (201) 339-1700
- NPI assigned
- Aug 29, 2006
- Last updated
- Jul 3, 2023
- 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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2040881 | NY | MD | Anesthesiology Physician |
| 204088 | NY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Rochester | Current | Accepting new patients | |
| U of R Anesthesiology Group | Anesthesiology | Current | Accepting new patients |
| University of Rochester | Current | Accepting new patients | |
| University of Rochester | Current | 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 | Past | Accepting new patients | |
| Modern Medical PLLC | Past | 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
- 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.
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1609806488
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
dba Strong Memorial Hospital-University of Rochester
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
dba Strong Memorial Hospital MD Group
- Internal Medicine Physician
- Rochester, NY
- NPI 1821152588
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1528160421
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1811940851
-
- Specialist
- Fresh Meadows, NY
- NPI 1629126974
-
- Specialist
- Astoria, NY
- NPI 1053578815
-
- Pain Medicine (Anesthesiology) Physician
- South Plainfield, NJ
- NPI 1528075652
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Strong Memorial Hospital
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.