Individual provider Active NPI

Maurice J. Vaughan, M.D.

  • Cardiovascular Disease Physician
  • Rochester, NY
National Provider Identifier
1730140401
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
154363 Issued in NY
Practice address
140 Canal View Blvd
Suite 102
Rochester, NY 14623-2808
Phone
(585) 338-2700
Fax
(585) 242-9663
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 154363 NY Primary

Addresses

Primary practice location

140 Canal View Blvd
Suite 102
Rochester, NY 14623-2808

Mailing address

140 Canal View Blvd
Suite 102
Rochester, NY 14623-2808
Phone (585) 338-2700

Other identifiers 16

IdentifierTypeStateIssuer
1676OtherBLUE CROSS BLUE SHIELD
PO10154363OtherEXCELLUS
000525795007OtherHEALTH NOW LINDEN OAKS
01095885MedicaidNY
5815342OtherAETNA
7701246OtherMVP
PO10154363OtherGRIPA
0005257995006OtherHEALTH NOW PARNALL
MD4261OtherPREFERRED CARE
RC60154363OtherRCIPA
0000076301506OtherUNITED HEALTHCARE
005257956OtherCOMM BLUE BCBSWNY
301134OtherWELLCARE
78480545OtherTRICARE/CHAMPUS
9702552OtherGHI
060064587OtherRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mvaughan103123@direct.urmc.rochester.edu Direct
Direct Messaging Address mvaughan103123@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
I20040728001493 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7719957562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinical GroupGroup PAC ID 3577458199, 148 clinicians

Practice addresses (Care Compare)

999 E Ridge Rd
Suite 1000
Rochester, NY 14621-1936
Phone (585) 338-2700

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
69.24
Promoting interoperability
98
Improvement activities
40
Cost
80.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154363NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Clinical Group Cardiovascular Disease CurrentSince Sep 1, 2015 Accepting new patients
University of Rochester Past Accepting new patients
Rochester General Hospital PastSince Sep 1, 2015 Accepting new patients
Mobile Diagnostic Test Serv Inc PastSince Apr 30, 2003 Accepting new patients
Mobile Diagnostic Testing Services Inc Past Accepting new patients
Kenneth H. Davidson, MD, PC Cardiovascular Disease Past Accepting new patients

Locations

75 Sunset Dr
#A
Newark, NY 14513
Phone (315) 331-4375

999 E Ridge Rd
Ste 1000
Rochester, NY 14621

601 Elmwood Ave
#679B
Rochester, NY 14642
Phone (585) 273-3760

140 Canal View Blvd
Ste 102
Rochester, NY 14623
Phone (585) 242-9450

30 Hagen Dr
Ste 100
Rochester, NY 14625
Phone (585) 242-9450

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

Interoperability endpoints

  • Direct secure messaging: mvaughan103123@direct.urmc.rochester.edu

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 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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1730140401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CANAL VIEW BLVD",
            "address_2": "SUITE 102",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232808",
            "telephone_number": "585-338-2700",
            "fax_number": "585-242-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CANAL VIEW BLVD",
            "address_2": "SUITE 102",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232808",
            "telephone_number": "585-338-2700",
            "fax_number": "585-242-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "MAURICE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "154363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1676",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "PO10154363",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW LINDEN OAKS",
            "identifier": "000525795007",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01095885",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5815342",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "7701246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRIPA",
            "identifier": "PO10154363",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW PARNALL",
            "identifier": "0005257995006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MD4261",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RCIPA",
            "identifier": "RC60154363",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0000076301506",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM BLUE BCBSWNY",
            "identifier": "005257956",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "301134",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "78480545",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9702552",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060064587",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvaughan103123@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": "mvaughan103123@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 Rochester, NY

Sources for this page

Verify at the official NPI Registry.