NPIMap

Individual provider Active NPI

Melanie Conolly

  • Family Medicine Physician
  • Spencerport, NY
National Provider Identifier
1982631446
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
195431 Issued in NY
Practice address
4 Land Re Way
Suite 100
Spencerport, NY 14559-1735
Phone
(585) 368-6620
Fax
(585) 368-6621
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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 195431 NY Primary

Addresses

Primary practice location

4 Land Re Way
Suite 100
Spencerport, NY 14559-1735

Mailing address

4 Land Re Way
Suite 100
Spencerport, NY 14559-1735
Phone (585) 368-6620

Other identifiers 1

IdentifierTypeStateIssuer
01685294MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melanie.conolly@rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000545 NY Practitioner - Family Practice 4688577497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

Hospital & facility affiliations

  • Rochester Regional Health Home Care Home health agency, Rochester, NY, CCN 337066
  • Unity Hospital Hospital, Rochester, NY, CCN 330226
  • 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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 1, 2003 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

89 Genesee St
Rochester, NY 14611
Phone (585) 723-7000

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

377 S Union St
Spencerport, NY 14559
Phone (585) 352-8999

4 Land Re Way
Spencerport, NY 14559
Phone (585) 721-9156

4 Land Re Way
Ste 100
Spencerport, NY 14559
Phone (585) 368-6620

Interoperability endpoints

  • Direct secure messaging: mconolly197105@direct.rochesterregional.org

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 8

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1982631446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAND RE WAY",
            "address_2": "SUITE 100",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591735",
            "telephone_number": "585-368-6620",
            "fax_number": "585-368-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAND RE WAY",
            "address_2": "SUITE 100",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591735",
            "telephone_number": "585-368-6620",
            "fax_number": "585-368-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOLLY",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "195431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01685294",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melanie.conolly@rochesterregional.org",
            "affiliation": "N",
            "address_1": "4 Land Re Way",
            "address_2": "Suite 100",
            "city": "Spencerport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145591735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spencerport, NY

Sources for this page

Verify at the official NPI Registry.