Prasadvarma Penmetsa, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

197830 Issued in NY

Practice address

1561 Long Pond Rd
Rochester, NY 14626-4117

Phone

(585) 723-0111

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Gastroenterology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rochester Gastroenterology AssociatesGroup PAC ID 3678552973, 10 clinicians

Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unity Hospital Hospital, Rochester, NY, CCN 330226
• Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: ppenmetsa26316@direct.rochesterregional.org
• FHIR API: https://fhir4.healow.com/fhir/r4/CAEACD

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.

• Gastrointestinal Care of Long Island PLLC

  • Gastroenterology Physician
  • Massapequa, NY
  • NPI 1265571863
  Medicare reassignment Care Compare group NPD
• Rochester Gastroenterology Associates

  • Gastroenterology Physician
  • Rochester, NY
  • NPI 1710941927
  Medicare reassignment Care Compare group NPD
• Nyc Medical of Queens PC

  • Internal Medicine Physician
  • Jackson Heights, NY
  • NPI 1144854811
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Unity Hospital of Rochester

  • Skilled Nursing Facility
  • Rochester, NY
  • NPI 1164406476

  Hospital

  Care Compare affiliation
• The Unity Hospital of Rochester

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester, NY
  • NPI 1336366822

  Hospital

  Care Compare affiliation
• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1457395766
  Care Compare affiliation
• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1477798189
  Care Compare affiliation
• The Unity Hospital of Rochester

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rochester, NY
  • NPI 1689891178

  Hospital

  Care Compare affiliation
• The Unity Hospital of Rochester

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Rochester, NY
  • NPI 1730237603
  Care Compare affiliation
• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1760421713
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1891750451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 LINDEN AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252716",
            "telephone_number": "585-385-9030",
            "fax_number": "585-385-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264117",
            "telephone_number": "585-723-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENMETSA",
        "first_name": "PRASADVARMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "197830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Fu Peng, MD, PHD
• Karen Susan Penird, M.D.
• Michael Joseph Penkin, DC
• Sarah K Tirimacco Penkin, DC
• Amulya Penmetsa, M.D.
• Uma Penmetsa, M.D.
• Thomas E Penn, MD
• Janet A Pennella-Vaughan, N.P.
• Anthony Pennie, LPN
• Zoe Pennington, BS, CASAC-T

• Gastroenterology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.

Verify at the official NPI Registry.