Individual provider Active NPI

Mitchell A Ehrenberg, M.D.

  • Internal Medicine Physician
  • Pittsford, NY
National Provider Identifier
1821098047
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
175142 Issued in NY
Practice address
61 Monroe Ave Ste a
Pittsford, NY 14534-1311
Phone
(585) 385-3372
Fax
(585) 385-2836
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 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 175142 NY Primary

Addresses

Primary practice location

61 Monroe Ave Ste a
Pittsford, NY 14534-1311

Mailing address

61 Monroe Ave Ste a
Pittsford, NY 14534-1311
Phone (585) 385-3372

Other identifiers 1

IdentifierTypeStateIssuer
01242520MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PracticeManager@PersonalMedicineRoc.com 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
I20100506000369 NY Practitioner - Internal Medicine 6204888241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monroe Medical Practice PCGroup PAC ID 4284089053, 2 clinicians

Practice addresses (Care Compare)

2109 S Clinton Ave
Suite 2
Rochester, NY 14618-2615
Phone (585) 385-3372

Hospital & facility affiliations

  • HCR / HCR Home Care Chha (Rochester) Home health agency, Rochester, NY, CCN 337257
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Jewish Home of Rochester Nursing home, Rochester, NY, CCN 335105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Medical Practice PC Internal Medicine CurrentSince Aug 12, 2023 Accepting new patients

Locations

61 Monroe Ave
Ste A
Pittsford, NY 14534
Phone (585) 385-3372

2109 S Clinton Ave
#200
Rochester, NY 14618
Phone (585) 385-3372

2109 S Clinton Ave
Ste 2
Rochester, NY 14618
Phone (585) 385-3372

Interoperability endpoints

  • Direct secure messaging: mitchell.ehrenberg.1@29276.direct.athenahealth.com
  • Direct secure messaging: practicemanager@personalmedicineroc.com

Organizations & group practices 1

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 5

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1821098047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MONROE AVE STE A",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341311",
            "telephone_number": "585-385-3372",
            "fax_number": "585-385-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MONROE AVE STE A",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341311",
            "telephone_number": "585-385-3372",
            "fax_number": "585-385-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENBERG",
        "first_name": "MITCHELL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "175142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01242520",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PracticeManager@PersonalMedicineRoc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "61 Monroe Ave Ste A",
            "city": "Pittsford",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145341311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.