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ROOPA M KORNI PHYSICIAN PLLC
NPI 1265776181
Family Medicine in Rochester, NY

Active since November 15, 2012CLIA 33D2200258 · Waiver
2450 W RIDGE RD, SUITE 202, ROCHESTER, NY 14626(585) 413-3520(585) 360-4181 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Roopa M Korni Physician Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOPA M KORNI PHYSICIAN PLLC (NPI 1265776181) is a healthcare organization registered as a family medicine in Rochester, New York and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Roopa Korni, Doctor, as its authorized official.

NPPES Registry Identity

NPI1265776181
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROOPA M KORNI PHYSICIAN PLLC
Location Address2450 W RIDGE RD, SUITE 202Rochester, NY 14626-3037
Mailing Address2450 W Ridge Rd, Suite 202Rochester, NY 14626-3037 · (585) 413-3520 · Fax (585) 360-4181
Phone(585) 413-3520
Fax(585) 360-4181
Organization SubpartNo
Authorized OfficialRoopa KorniDoctor · (585) 413-3520
Enumeration DateNovember 15, 2012
Last NPPES UpdateNovember 1, 2016
✔ NPI 1265776181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 253455
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2450 W RIDGE RD, Rochester, NY 14626
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Other Identifiers 2

Other1265776181NY · Medicaire Npi
Medicaid03127759NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roopa M Korni Physician Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Roopa M Korni Physician PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Roopa Korni, MD
Family Practice
NPI 1629272810
2450 W RIDGE RD STE 202
Rochester, NY 14626
(585) 413-3520
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2200258

Roopa M Korni Physician PLLC · Rochester, NY
Active · expires Nov 12, 2026
CLIA Number33D2200258
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorDr. Roopa M. Korni
Laboratory Phone(585) 413-3520
Laboratory LocationRoopa M Korni Physician PLLC1790 Longpond Road, Rochester, NY 14606
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roopa M Korni Physician PLLC's NPI number?

The NPI number for Roopa M Korni Physician PLLC is 1265776181. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Roopa M Korni Physician PLLC located?

Roopa M Korni Physician PLLC is located at 2450 W Ridge Rd Suite 202, Rochester, NY 14626. The listed phone number is (585) 413-3520.

What is Roopa M Korni Physician PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roopa M Korni Physician PLLC enrolled in Medicare?

Yes. Roopa M Korni Physician PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roopa M Korni Physician PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Roopa M Korni Physician PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Roopa M Korni Physician PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2200258) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roopa M Korni Physician PLLC was last updated on November 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.