Active NPI
Patrick Fultz, M.D.
- Diagnostic Ultrasound Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 165371
- Practice address
- 601 Elmwood Ave
Box 648
Rochester, NY 14642-0001 - Phone
- (595) 275-1376
- NPI assigned
- Jun 30, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 165371 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 165371 | NY | |
| Diagnostic Ultrasound Physician | 2085U0001X | 165371 | NY | Primary |
Addresses
Primary practice location
601 Elmwood Ave
Box 648
Rochester, NY 14642-0001
Mailing address
601 Elmwood Ave
Box 648
Rochester, NY 14642-0001
Phone (595) 275-1376
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080411000536 | NY | Practitioner - Diagnostic Radiology | 4587567045 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- State University of Ny Upstate Medical University, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiologists of Univ of Rochester
Practice addresses (Care Compare)
10 Miracle Mile Dr
Rochester, NY 14623-5851
Phone (585) 602-4423
111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-4235
156 W Ave
Brockport, NY 14420-1229
Phone (585) 784-2985
191 N Main St
Wellsville, NY 14895-1150
Phone (585) 596-4013
2064 Fairport Nine Mile Point Rd
Suite 110
Penfield, NY 14526-1750
Phone (585) 758-0334
601 Elmwood Ave
Rochester, NY 14642-0001
601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2734
Hospital & facility affiliations
- Strong Memorial Hospital
- Jones Memorial Hospital
- Highland Hospital
- Nicholas H Noyes Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.74 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St James Hospital | Current | Accepting new patients | |
| Radiologists of Univ of Rochester | Diagnostic Radiology | Current | Accepting new patients |
Locations
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
601 Elmwood Ave
#648
Rochester, NY 14642
Phone (585) 275-1376
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
200 E River Rd
Rochester, NY 14623
Phone (585) 275-2808
4901 Lac de Ville Blvd
Ste 140
Rochester, NY 14618
Phone (585) 275-2734
Interoperability endpoints
- pfultz4005@direct.urmc.rochester.edu
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Rochester, NY
- NPI 1821030362
Diagnostic Radiology, NY
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dansville, NY
- NPI 1982625661
Hospital
-
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244419200000",
"number": "1952330367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"address_2": "BOX 648",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "595-275-1376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"address_2": "BOX 648",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "595-275-1376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTZ",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2009-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NY",
"license": "165371",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "165371",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NY",
"license": "165371",
"primary": true
}
],
"identifiers": [],
"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 Jun 8, 2009; 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.