Individual provider Active NPI

Melodie Joy Kolmetz, PA

  • Medical Physician Assistant
  • Pittsford, NY
National Provider Identifier
1932140381
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
005322 Issued in NY
Practice address
500 Hahnemann TRL
Pittsford, NY 14534-2356
Phone
(585) 389-0988
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005322 NY
Medical Physician Assistant 363AM0700X 5322 NY
Surgical Physician Assistant 363AS0400X 005322 NY
Medical Physician Assistant 363AM0700X 005322 NY Primary

Addresses

Primary practice location

500 Hahnemann TRL
Pittsford, NY 14534-2356

Mailing address

1870 Winton Rd S
Rochester, NY 14618-3960
Phone (585) 276-0830

Other practice location 1

350 Parrish St
Canandaigua, NY 14424-1731
Phone (585) 396-6663

Other identifiers 3

IdentifierTypeStateIssuer
P019005322OtherEXCELLUS PLANS
000918016002OtherHEALTH NOW
108964BFOtherPREFERRED CARE

Other names 1

  • Ms. Melodie Joy Enedy Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mkolmetz93413@direct.urmc.rochester.edu Direct
Direct Messaging Address mkolmetz93413@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040105000530 NY Practitioner - Physician Assistant 3274432620 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.84 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
81.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5322NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Wayne Community Hospital CurrentSince Sep 1, 2019 Accepting new patients
Newark Wayne Community Hospital CurrentSince Sep 1, 2019 Accepting new patients
Highland Hospital of Rochester CurrentSince Jun 6, 2022 Accepting new patients
Highland Hospital of Rochester CurrentSince Jun 6, 2022 Accepting new patients
Rochester General Hospital CurrentSince Sep 1, 2019 Accepting new patients
Rochester General Hospital CurrentSince Sep 1, 2019 Accepting new patients
Internal Medicine at Lakeside Past Accepting new patients
Brockport Medical Care PLLC Past Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

350 Parrish St
Canandaigua, NY 14424
Phone (585) 396-6000

50 E South St
Ste 700E
Geneseo, NY 14454
Phone (585) 243-0595

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

500 Hahnemann Trl
Pittsford, NY 14534
Phone (585) 373-1700

10 Hagen Dr
#350B
Rochester, NY 14625
Phone (585) 385-9775

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

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

601 Elmwood Ave
#320
Rochester, NY 14642

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

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

Interoperability endpoints

  • Direct secure messaging: mkolmetz93413@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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1932140381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183960",
            "telephone_number": "585-276-0830",
            "fax_number": "585-424-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HAHNEMANN TRL",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342356",
            "telephone_number": "585-389-0988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Parrish St",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144241731",
            "country_code": "US",
            "telephone_number": "585-396-6663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLMETZ",
        "first_name": "MELODIE",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-03-21",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005322",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "5322",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "005322",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "005322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS PLANS",
            "identifier": "P019005322",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW",
            "identifier": "000918016002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "108964BF",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkolmetz93413@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": "mkolmetz93413@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": [
        {
            "first_name": "MELODIE",
            "last_name": "ENEDY",
            "middle_name": "JOY",
            "prefix": "MS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.