Individual provider Active NPI

Richard Alan Rosenberg, MD

  • Ophthalmology Physician
  • Corning, NY
National Provider Identifier
1942294657
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
165819 Issued in NY
Practice address
232 Denison Pkwy E
Corning, NY 14830-2813
Phone
(607) 937-5800
Fax
(607) 398-3341
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 165819 NY Primary

Addresses

Primary practice location

232 Denison Pkwy E
Corning, NY 14830-2813

Mailing address

207 Madison Ave
Elmira, NY 14901-3204
Phone (607) 734-2984

Other identifiers 1

IdentifierTypeStateIssuer
180017694OtherRR MEDICARE

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
I20110216000651 NY Practitioner - Ophthalmology 2567550015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

200 E Steuben St
Bath, NY 14810-1624
Phone (607) 776-3851

Hospital & facility affiliations

  • Corning Hospital Hospital, Corning, NY, CCN 330277
  • Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
  • Ira Davenport Memorial Hospital Hospital, Bath, NY, CCN 330800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery659
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Dec 1, 2022 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Dec 1, 2022 Accepting new patients
Elmira ASC LLC Current Accepting new patients
Guthrie Medical Group PC Past Accepting new patients
Finger Lakes Pain Management, LLC Past Accepting new patients

Locations

200 E Steuben St
Bath, NY 14810
Phone (607) 776-3851

232 Denison Pkwy E
Corning, NY 14830
Phone (607) 937-5800

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

210 William St
Elmira, NY 14901
Phone (607) 734-1305

207 Madison Ave
Elmira, NY 14901
Phone (607) 734-2984

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: rrosenberg182374@direct-guthrie.org

Organizations & group practices 5

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1942294657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MADISON AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013204",
            "telephone_number": "607-734-2984",
            "fax_number": "607-398-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 DENISON PKWY E",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302813",
            "telephone_number": "607-937-5800",
            "fax_number": "607-398-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "165819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180017694",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.