Individual provider Active NPI

William J Montesano Jr., MD

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1962510792
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
233057-1 Issued in NY
Practice address
1401 Stone Rd
Ste 201
Rochester, NY 14615-1537
Phone
(585) 865-1110
Fax
(585) 865-1124
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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 233057-1 NY Primary

Addresses

Primary practice location

1401 Stone Rd
Ste 201
Rochester, NY 14615-1537

Mailing address

1401 Stone Rd
Ste 201
Rochester, NY 14615-1537
Phone (585) 865-1110

Other identifiers 1

IdentifierTypeStateIssuer
02600993MedicaidNY

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
I20040823001329 NY Practitioner - Family PracticePractitioner - Emergency Medicine 1254305592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ridgeview Internal Medicine Group LLPGroup PAC ID 4587665294, 6 clinicians

Practice addresses (Care Compare)

1850 E Ridge Rd
Suite 1
Rochester, NY 14622-2475
Phone (585) 342-3870

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
233057-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Rochester Internal Medicine PLLC CurrentSince Jun 3, 2013 Accepting new patients
Ridgeview Internal Medicine Group, LLP CurrentSince Jan 21, 2021 Accepting new patients
Rochester General Hospital Past Accepting new patients
Churchville-Chili Family Medicine, LLC Family Medicine Past Accepting new patients

Locations

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

1850 E Ridge Rd
Ste 1
Rochester, NY 14622
Phone (585) 342-3870

Interoperability endpoints

  • Direct secure messaging: william.montesano.1@10568.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10568/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1962510792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 STONE RD",
            "address_2": "STE 201",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151537",
            "telephone_number": "585-865-1110",
            "fax_number": "585-865-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 STONE RD",
            "address_2": "STE 201",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151537",
            "telephone_number": "585-865-1110",
            "fax_number": "585-865-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTESANO",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "233057-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02600993",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.