Individual provider Active NPI

Anthony Ragusa, MD

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1962470229
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NY200136 Issued in NY
Practice address
1401 Stone Rd
Suite 200
Rochester, NY 14615
Phone
(585) 672-4700
Fax
(585) 672-4700
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NY200136 NY Primary
Internal Medicine Physician 207R00000X 200136 NY

Addresses

Primary practice location

1401 Stone Rd
Suite 200
Rochester, NY 14615

Mailing address

1401 Stone Rd
Suite 200
Rochester, NY 14615
Phone (585) 672-4700

Other identifiers 2

IdentifierTypeStateIssuer
110141246OtherMEDICARE RR
01665190MedicaidNY

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
I20090528000463 NY Practitioner - Internal Medicine 5991729410 Reassigns benefits to 1 organization
Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Stone Rd
Rochester, NY 14615-1537
Phone (585) 865-1110

Hospital & facility affiliations

  • Rochester Regional Health Home Care Home health agency, Rochester, NY, CCN 337066
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NY200136NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Rochester Internal Medicine PLLC Internal Medicine CurrentSince Jul 2, 2002 Accepting new patients
Anthony Ragusa, MD, PLLC CurrentSince Jun 23, 2024 Accepting new patients
Rochester General Hospital PastSince Jan 21, 2022 Accepting new patients

Locations

1401 Stone Rd
Ste 200
Rochester, NY 14615
Phone (585) 672-4700

1401 Stone Rd
Ste 201
Rochester, NY 14615
Phone (585) 865-1100

Interoperability endpoints

  • Direct secure messaging: anthony.ragusa@grinternalmedicine.medentdirect.com

Organizations & group practices 3

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 1

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1962470229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 STONE RD",
            "address_2": "SUITE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14615",
            "telephone_number": "585-672-4700",
            "fax_number": "585-672-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 STONE RD",
            "address_2": "SUITE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14615",
            "telephone_number": "585-672-4700",
            "fax_number": "585-672-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUSA",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "NY200136",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200136",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "110141246",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01665190",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.