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DR. DIDEM MIRALOGLU M.D., M.S.
NPI 1942271218
Internal Medicine in Brockport, NY

Active since January 27, 2006Opted out of Medicare · through Sep 2, 2027
156 WEST AVE, SUITE 106, BROCKPORT, NY 14420(585) 637-7558(585) 637-7566 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Didem Miraloglu M.d., M.s. NPPES

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

DR. DIDEM MIRALOGLU M.D., M.S. (NPI 1942271218) is an individual internal medicine provider in Brockport, New York, licensed in New York (233008) and active in the NPI registry since January 2006. She has opted out of Medicare through September 2, 2027.

NPPES Registry Identity

NPI1942271218
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DIDEM MIRALOGLUCredential: M.D., M.S.
Location Address156 WEST AVE, SUITE 106Brockport, NY 14420-1229
Mailing Address601 Elmwood Ave, Box 278980Rochester, NY 14642-0001 · (585) 637-7558 · Fax (585) 637-7566
Phone(585) 637-7558
Fax(585) 637-7566
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJuly 24, 2013
✔ NPI 1942271218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 233008
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
156 WEST AVE, Brockport, NY 14420
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Other Identifiers 3

Medicaid02649347NY
Medicare PINRA4098NY
Medicare UPINI14762NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Didem Miraloglu M.d., M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 2, 2021 through September 2, 2027.

Opt-Out Effective DateSeptember 2, 2021
Opt-Out In Effect ThroughSeptember 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKESIDE IMAGING, LLC
Radiology (Diagnostic Radiology)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (716) 859-2954
DR. TIMOTHY VERNON HAGY M.D.
Emergency Medicine (Emergency Medical Services)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
UNIVERSITY OF ROCHESTER
Pharmacy (Community/Retail Pharmacy)
156 WEST AVE, PHARMACY
BROCKPORT, NY 14420
Monroe County (585) 758-7562
ERIK PETERSON D.O.
Emergency Medicine
156 WEST AVE, EMERGENCY DEPARTMENT
BROCKPORT, NY 14420
Monroe County (585) 395-6095
EMMA LEATHAM PA-C
Physician Assistant (Medical)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 758-7557
AMY LORRAINE STACY MS, RD, CDN
Dietitian, Registered
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
INTERNAL MEDICINE AT LAKESIDE
Internal Medicine
156 WEST AVE, SUITE 106
BROCKPORT, NY 14420
Monroe County (585) 395-6095
JORDAN BLOCK
Physical Therapist (Orthopedic)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 275-5321

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 Didem Miraloglu's NPI number?

The NPI number for Didem Miraloglu is 1942271218. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Didem Miraloglu located?

Didem Miraloglu practices at 156 West Ave Suite 106, Brockport, NY 14420. The listed phone number is (585) 637-7558.

What is Didem Miraloglu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Didem Miraloglu enrolled in Medicare?

No. Didem Miraloglu has opted out of Medicare through September 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Didem Miraloglu was last updated on July 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.