Individual provider Active NPI

Carol Lynn Petronaci, MD

  • Pulmonary Disease Physician
  • Rochester, NY
National Provider Identifier
1912938465
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
215658 Issued in NY
Practice address
601 Elmwood Ave
Box Med
Rochester, NY 14642-0001
Phone
(585) 275-4861
Fax
(585) 273-1058
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 215658 NY Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 215658 NY
Internal Medicine Physician 207R00000X 215658 NY

Addresses

Primary practice location

601 Elmwood Ave
Box Med
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave
Box Med
Rochester, NY 14642-0001
Phone (585) 275-4861

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
I20050629000462 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1850337965 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Wake Forest University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Disease Clinical GroupGroup PAC ID 6608821657, 65 clinicians
Mary M Parkes Asthma and PulmonaryGroup PAC ID 9436126596, 36 clinicians

Practice addresses (Care Compare)

1000 S Ave
Rochester, NY 14620-2733
Phone (585) 275-4861

400 Red Creek Dr
Suite 110
Rochester, NY 14623-4273
Phone (585) 486-0147

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 758-7691

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Highland Hospital Hospital, Rochester, NY, CCN 330164

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as group
Quality
67.49
Promoting interoperability
100
Improvement activities
40
Cost
79.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester Internal Medicine Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 2, 2019 Accepting new patients
University of Rochester Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
Mary M Parkes Asthma & Pulmonary Pulmonary Disease CurrentSince Sep 1, 2010 Accepting new patients
Pulmonary Disease Clinical Group Pulmonary Disease CurrentSince Jul 1, 2005 Accepting new patients
University of Rochester CurrentSince Mar 1, 2016 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 2, 2019 Accepting new patients
St James Hospital CurrentSince Aug 9, 2022 Accepting new patients
Highland Hospital of Rochester Past Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

5901 Lac de Ville Blvd
Rochester, NY 14618
Phone (585) 442-7960

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

400 Red Creek Dr
Ste 110
Rochester, NY 14623
Phone (585) 486-0147

1000 South Ave
#58
Rochester, NY 14620
Phone (585) 341-6776

1000 South Ave
Ste 58
Rochester, NY 14620
Phone (585) 341-6779

130 North St
Walton, NY 13856
Phone (607) 865-6541

Interoperability endpoints

  • Direct secure messaging: cpetronaci4893@direct.urmc.rochester.edu

Organizations & group practices 11

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 3

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1912938465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX MED",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-4861",
            "fax_number": "585-276-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX MED",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-4861",
            "fax_number": "585-273-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRONACI",
        "first_name": "CAROL LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "215658",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "215658",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.