Active NPI
Daniel B Wopperer, MD
- Diagnostic Radiology Physician
- Rochester, NY
National Provider Identifier
1821034133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 153909
- Practice address
- 125 Lattimore Rd
Rochester, NY 14620-4159 - Phone
- (585) 241-6400
- Fax
- (585) 241-6505
- NPI assigned
- Jun 22, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 153909 | NY | Primary |
Addresses
Primary practice location
125 Lattimore Rd
Rochester, NY 14620-4159
Mailing address
2263 S Clinton Ave
Rochester, NY 14618-2623
Phone (585) 241-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153909 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Borg Imaging Group LLP | Past | Accepting new patients | |
| Borg & Ide Imaging, PC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Rochester, NY
- NPI 1194714402
-
- Specialist
- Rochester, NY
- NPI 1528001385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259798400000",
"number": "1821034133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2263 S CLINTON AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182623",
"telephone_number": "585-241-6400",
"fax_number": "585-241-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 LATTIMORE RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204159",
"telephone_number": "585-241-6400",
"fax_number": "585-241-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOPPERER",
"first_name": "DANIEL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2009-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "153909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.