Individual provider Active NPI

Robert R Mayo, M.D.

  • Nephrology Physician
  • Rochester, NY
National Provider Identifier
1821037045
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
223686 Issued in NY
Practice address
370 E Ridge Rd Ste 20
Rochester, NY 14621-1239
Phone
(585) 922-0401
Fax
(585) 922-0455
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 223686 NY Primary

Addresses

Primary practice location

370 E Ridge Rd Ste 20
Rochester, NY 14621-1239

Mailing address

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-0400

Other practice location 1

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-0400

Other practice location 2

200 North St Ste 101
Geneva, NY 14456-1561
Phone (315) 787-5100

Other identifiers 2

IdentifierTypeStateIssuer
01131126/RGHMedicaidNY
02223861MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.mayo@rochesterregional.org

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
I20110719000556 NY Practitioner - Nephrology 7517135569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Michigan Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

370 E Ridge Rd
Rochester, NY 14621-1240
Phone (585) 922-0600

Hospital & facility affiliations

  • Rochester General Hospital Dialysis Center Dialysis facility, Rochester, NY, CCN 333554
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223686NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital CurrentSince Oct 2, 2011 Accepting new patients
Rochester General Hospital CurrentSince Oct 2, 2011 Accepting new patients
Western New York Medical Practice P.C. PastSince Aug 11, 2015 Accepting new patients

Locations

200 North St
Ste 101
Geneva, NY 14456
Phone (315) 787-5100

370 E Ridge Rd
Ste 20
Rochester, NY 14621
Phone (585) 922-0400

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

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

1425 Portland Ave
#242
Rochester, NY 14621
Phone (585) 922-3662

Interoperability endpoints

  • Direct secure messaging: rmayo62463@direct.rochesterregional.org

Organizations & group practices 4

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 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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1821037045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213001",
            "telephone_number": "585-922-0400",
            "fax_number": "585-922-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E RIDGE RD STE 20",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211239",
            "telephone_number": "585-922-0401",
            "fax_number": "585-922-0455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213001",
            "country_code": "US",
            "telephone_number": "585-922-0400",
            "fax_number": "585-922-0455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 North St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144561561",
            "country_code": "US",
            "telephone_number": "315-787-5100",
            "fax_number": "315-787-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYO",
        "first_name": "ROBERT",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "223686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01131126/RGH",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02223861",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.mayo@rochesterregional.org",
            "affiliation": "N",
            "address_1": "370 E Ridge Rd Ste 20",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146211239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.