Individual provider Active NPI

John P Risolo, M.D.

  • Surgery Physician
  • Brockport, NY
National Provider Identifier
1861411639
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
213902 Issued in NY
Practice address
156 West Ave FL 3
Brockport, NY 14420-1229
Phone
(585) 276-7874
Fax
(585) 637-6911
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 213902 NY Primary

Addresses

Primary practice location

156 West Ave FL 3
Brockport, NY 14420-1229

Mailing address

601 Elmwood Avenue Box Surg
Rochester, NY 14642-0001
Phone (585) 276-7874

Other practice location 1

601 Elmwood Ave # Ac2
Rochester, NY 14642-0001
Phone (585) 276-7874

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jrisolo7250@direct.urmc.rochester.edu Direct
Direct Messaging Address jrisolo7250@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091222000711 NY Practitioner - General Surgery 1557401502 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Rochester Surgical AssociatesGroup PAC ID 8022919232, 51 clinicians

Practice addresses (Care Compare)

156 W Ave
Suite 3
Brockport, NY 14420-1229
Phone (585) 758-8700

180 Sawgrass Dr
Rochester, NY 14620-4653
Phone (585) 275-1984

601 Elmwood Ave
Rochester, NY 14642-0001

601 Elmwood Ave
Rochester, NY 14642-8410
Phone (585) 275-1984

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.97 of 100Reported as group
Quality
70.96
Promoting interoperability
100
Improvement activities
40
Cost
82.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213902NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Memorial Medical Center Current Accepting new patients
University of Rochester Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University of Rochester Surgical Associates CurrentSince Mar 1, 2018 Accepting new patients
United Memorial Medical Center Surgery CurrentSince Jan 16, 2016 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester CurrentSince Nov 1, 2019 Accepting new patients
University of Rochester CurrentSince Nov 1, 2019 Accepting new patients
University of Rochester Past Accepting new patients

Locations

127 North St
Batavia, NY 14020
Phone (585) 267-7510

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

229 Summit St
Ste 4
Batavia, NY 14020
Phone (585) 344-5470

156 West Ave
Brockport, NY 14420
Phone (585) 395-6095

156 West Ave
Fl 3
Brockport, NY 14420
Phone (585) 276-7874

156 West Ave
Ste 204
Brockport, NY 14420
Phone (585) 637-2525

180 Sawgrass Dr
Ste 220
Rochester, NY 14620
Phone (585) 242-1380

160 Sawgrass Dr
Ste 120
Rochester, NY 14620
Phone (585) 273-4713

601 Elmwood Ave
#2
Rochester, NY 14642
Phone (585) 276-7874

99 Canal Landing Blvd
Ste 6
Rochester, NY 14626
Phone (585) 247-4770

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: jrisolo7250@direct.urmc.rochester.edu

Organizations & group practices 9

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 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1861411639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVENUE BOX SURG",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-276-7874",
            "fax_number": "585-637-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WEST AVE FL 3",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201229",
            "telephone_number": "585-276-7874",
            "fax_number": "585-637-6911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Elmwood Ave # Ac2",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420001",
            "country_code": "US",
            "telephone_number": "585-276-7874",
            "fax_number": "585-637-6911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISOLO",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-07-05",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "213902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrisolo7250@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": "jrisolo7250@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 Brockport, NY

Sources for this page

Verify at the official NPI Registry.