NPIMap

Individual provider Active NPI

I Am Panlilio Resurreccion, M.D.

  • Internal Medicine Physician
  • Webster, NY
National Provider Identifier
1790914265
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
269119 Issued in NY
Practice address
2000 Empire Blvd Ste 120
Webster, NY 14580-1957
Phone
(585) 922-0930
NPI assigned
Jul 6, 2009
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 269119 NY Primary

Addresses

Primary practice location

2000 Empire Blvd Ste 120
Webster, NY 14580-1957

Mailing address

2000 Empire Blvd Ste 120
Webster, NY 14580-1957
Phone (585) 922-0930

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address IAm.Resurreccion@rochesterregional.org

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
I20160928000294 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0840431300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

2000 Empire Blvd
Suite 120
Webster, NY 14580-1957
Phone (518) 787-2510

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Sep 1, 2016 Accepting new patients
Rochester General Hospital Internal Medicine Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 4, 2021 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

2000 Empire Blvd
Ste 120
Webster, NY 14580
Phone (585) 787-2510

Interoperability endpoints

  • Direct secure messaging: iam.resurreccion@rochesterregional.org
  • Direct secure messaging: iresurreccion197021@direct.rochesterregional.org

Organizations & group practices 5

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 1

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1790914265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 EMPIRE BLVD STE 120",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801957",
            "telephone_number": "585-922-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 EMPIRE BLVD STE 120",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801957",
            "telephone_number": "585-922-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESURRECCION",
        "first_name": "I AM",
        "middle_name": "PANLILIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "269119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "IAm.Resurreccion@rochesterregional.org",
            "affiliation": "N",
            "address_1": "2000 Empire Blvd Ste 120",
            "city": "Webster",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145801957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

Verify at the official NPI Registry.