Active NPI
Daniel Joel Koretz, M.D.
- Internal Medicine Physician
- Ontario, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 106228
- Practice address
- 6200 Slocum Rd
Ontario, NY 14519-9102 - Phone
- (315) 524-2060
- Fax
- (315) 524-3814
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 106228 | NY | Primary |
Addresses
Primary practice location
6200 Slocum Rd
Ontario, NY 14519-9102
Mailing address
6200 Slocum Rd
Ontario, NY 14519-9102
Phone (315) 524-2060
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 |
|---|---|---|---|---|
| I20080425000374 | NY | Practitioner - Internal Medicine | 9739267139 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Albany Medical College of Union University, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rochester General Hospital
Practice addresses (Care Compare)
1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000
6254 Lawville Rd
Wolcott, NY 14590-9792
Phone (315) 594-9444
Hospital & facility affiliations
- Rochester Regional Health Home Care
- Rochester General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106228 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Internal Medicine | Current | Accepting new patients |
| Rochester General Hospital | Internal Medicine | Current | Accepting new patients |
| Rochester General Hospital | Past | Accepting new patients |
Locations
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
6254 Lawville Rd
Wolcott, NY 14590
Phone (315) 594-9444
Interoperability endpoints
- dkoretz94885@direct.rochesterregional.org
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
Internal Medicine, NY
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
Internal Medicine, NY
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rochester, NY
- NPI 1063454619
-
- Psychiatric Hospital Unit
- Rochester, NY
- NPI 1174620629
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1255847489
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1871070409
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rochester, NY
- NPI 1801819271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962451344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 SLOCUM RD",
"city": "ONTARIO",
"state": "NY",
"postal_code": "145199102",
"telephone_number": "315-524-2060",
"fax_number": "315-524-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 SLOCUM RD",
"city": "ONTARIO",
"state": "NY",
"postal_code": "145199102",
"telephone_number": "315-524-2060",
"fax_number": "315-524-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORETZ",
"first_name": "DANIEL",
"middle_name": "JOEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "106228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.