Individual provider Active NPI

Maria V Karipidis Pouria, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • Rochester, NY
National Provider Identifier
1700015559
Registry record updated Dec 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
280861-1 Issued in NY
Practice address
20 S Clinton Ave
Rochester, NY 14604-1793
Phone
(585) 325-3920
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sports Medicine Physician 2080S0010X 280861-1 NY
Sports Medicine (Internal Medicine) Physician 207RS0010X 280861-1 NY Primary
Pediatrics Physician 208000000X 125057017 IL

Addresses

Primary practice location

20 S Clinton Ave
Rochester, NY 14604-1793

Mailing address

20 S Clinton Ave
Rochester, NY 14604-1793
Phone (585) 325-3920

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
I20151207001678 NY Practitioner - Sports MedicinePractitioner - Internal MedicinePractitioner - Pediatric Medicine 4981904380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125057017ILMDPediatrics Physician
280861-1NYMDPediatric Sports Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766620800000",
    "number": "1700015559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146041793",
            "telephone_number": "585-325-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146041793",
            "telephone_number": "585-325-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIPIDIS POURIA",
        "first_name": "MARIA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2025-12-25",
        "certification_date": "2025-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "NY",
            "license": "280861-1",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NY",
            "license": "280861-1",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125057017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.