Active NPI
Manuel Enecilla, M.D.
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 240583
- Practice address
- 1111 Amsterdam Ave
New York, NY 10025-1716 - Phone
- (212) 523-4403
- Fax
- (212) 315-0196
- NPI assigned
- Jul 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 240583 | NY | Primary |
Addresses
Primary practice location
1111 Amsterdam Ave
New York, NY 10025-1716
Mailing address
1790 Broadway
3Rd Floor
New York, NY 10019-1412
Phone (212) 315-0144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240583 | Other | NY | LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | menecilla182867@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | menecilla182867@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
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 S Ave
Rochester, NY 14620-2733
Phone (585) 341-6776
Hospital & facility affiliations
- Highland Hospital
- Strong Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.84 of 100
- Quality
- 68.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Hospital of Rochester | Current | Accepting new patients | |
| Internal Medicine Group | Internal Medicine | Current | Accepting new patients |
| Internal Medicine Group | Current | Accepting new patients | |
| Soldiers & Sailors Memorial Hospital | Current | Accepting new patients | |
| Highland Hospital of Rochester | Current | Accepting new patients | |
| Soldiers & Sailors Memorial Hospital | Current | Accepting new patients | |
| University of Rochester Department of Psychiatry Clinical Group | Internal Medicine | Current | Accepting new patients |
| Highland Hospital of Rochester | Internal Medicine | Current | Accepting new patients |
| St Lukes Roosevelt Community Care | Internal Medicine | Past | Accepting new patients |
| Slrhc Faculty Practice | Internal Medicine | Past | Accepting new patients |
Locations
8000 Box
Buffalo, NY 14267
Phone (716) 213-0772
196 North St
Geneva, NY 14456
Phone (315) 787-4156
418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000
1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366
300 Crittenden Blvd
Rochester, NY 14642
Phone (585) 275-3569
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
Interoperability endpoints
- menecilla182867@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 and National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Rochester, NY
- NPI 1902221518
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1649220393
-
- Emergency Medicine Physician
- Penn Yan, NY
- NPI 1043353618
-
- Psychiatry Physician
- Rochester, NY
- NPI 1326088808
Internal Medicine
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1376820241
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1962725739
-
- Obesity and Weight Management Nutrition Registered Dietitian
- Rochester, NY
- NPI 1184255176
-
- Family Medicine Physician
- Waterloo, NY
- NPI 1972101491
-
- Internal Medicine Physician
- New York, NY
- NPI 1942524178
-
- Internal Medicine Physician
- New York, NY
- NPI 1740469246
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1972548568
-
- 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": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1811928088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 BROADWAY",
"address_2": "3RD FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191412",
"telephone_number": "212-315-0144",
"fax_number": "212-315-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251716",
"telephone_number": "212-523-4403",
"fax_number": "212-315-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENECILLA",
"first_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "240583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "240583",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "menecilla182867@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": "menecilla182867@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 New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.