Individual provider Active NPI

Theo William Turque, M.D.

  • Family Medicine Physician
  • Pittsford, NY
National Provider Identifier
1962403089
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
236263 Issued in NY
Practice address
77 Sullys TRL
Pittsford, NY 14534-3754
Phone
(585) 248-5300
Fax
(585) 248-3427
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 236263 NY Primary

Addresses

Primary practice location

77 Sullys TRL
Pittsford, NY 14534-3754

Mailing address

77 Sullys TRL
Pittsford, NY 14534-3754
Phone (585) 248-5300

Other identifiers 1

IdentifierTypeStateIssuer
CS00210864OtherNMSTATE CONTROLLED SUBSTANC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tturque225129@direct.rochesterregional.org

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
I20070827000017 NY Practitioner - Family Practice 0345272183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jan 1, 2018 Accepting new patients
Western New York Medical Practice PC CurrentSince Jan 1, 2018 Accepting new patients
Western New York Medical Practice P.C. Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Rochester General Hospital Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Rochester General Hospital Family Medicine Current Accepting new patients

Locations

77 Sullys Trl
Pittsford, NY 14534
Phone (585) 248-5300

77 Sullys Trl
Ste 100
Pittsford, NY 14534
Phone (585) 424-6210

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

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1962403089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SULLYS TRL",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343754",
            "telephone_number": "585-248-5300",
            "fax_number": "585-248-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SULLYS TRL",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343754",
            "telephone_number": "585-248-5300",
            "fax_number": "585-248-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURQUE",
        "first_name": "THEO",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "236263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROLLED SUBSTANC",
            "identifier": "CS00210864",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tturque225129@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "77 Sullys Trl",
            "city": "Pittsford",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145343754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.