Active NPI
Keith Gerard Pryhuber, MD
- Rheumatology Physician
- Rochester, NY
National Provider Identifier
1942265343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 169326
- Practice address
- 500 Helendale Rd
Suite 90
Rochester, NY 14609-3173 - Phone
- (585) 288-0530
- Fax
- (585) 288-3363
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 169326 | NY | Primary |
Addresses
Primary practice location
500 Helendale Rd
Suite 90
Rochester, NY 14609-3173
Mailing address
500 Helendale Rd
Suite 90
Rochester, NY 14609-3173
Phone (585) 288-0530
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010133641 | Medicaid | NY | |
| 169326 | Other | NY | NY STATE LICENSE NO |
| P010169326 | Other | NY | BLUE CROSS/BLUE SHIELD |
| P010169326 | Other | NY | EXCELLUS PROVIDER NO |
| 101174CD | Other | NY | PREFERRED CARE NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169326 | NY | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289520000000",
"number": "1942265343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 HELENDALE RD",
"address_2": "SUITE 90",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146093173",
"telephone_number": "585-288-0530",
"fax_number": "585-288-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HELENDALE RD",
"address_2": "SUITE 90",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146093173",
"telephone_number": "585-288-0530",
"fax_number": "585-288-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYHUBER",
"first_name": "KEITH",
"middle_name": "GERARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2010-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NY",
"license": "169326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010133641",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE LICENSE NO",
"identifier": "169326",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "P010169326",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS PROVIDER NO",
"identifier": "P010169326",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE NO",
"identifier": "101174CD",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.