NAGHMEH POOYA MD
NPI 1972500320
Internal Medicine - Geriatric Medicine in Rochester, NY

Q: What is Naghmeh Pooya's NPI number?

The NPI number for Naghmeh Pooya is 1972500320. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Q: What is Naghmeh Pooya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Naghmeh Pooya was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment

84.09/100

CMS Quality Rating

2655 RIDGEWAY AVE STE 420, ROCHESTER, NY 14626(585) 723-7705(585) 723-7788 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2023, Sep 9, 2021 (2 updates tracked since 2021).

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About Naghmeh Pooya Md NPPES

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

NAGHMEH POOYA MD (NPI 1972500320) is an individual geriatric medicine provider in Rochester, New York, licensed in New York (311275) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972500320

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameNAGHMEH POOYACredential: MD

Location Address2655 RIDGEWAY AVE STE 420Rochester, NY 14626-4296

Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-1900 · Fax (585) 922-1002

Phone(585) 723-7705

Fax(585) 723-7788

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJune 30, 2005

Last NPPES UpdateSeptember 27, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2023

✔ NPI 1972500320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in NY · 311275

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

2655 RIDGEWAY AVE STE 420, Rochester, NY 14626

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Secondary Practice Locations 2

Location 1100 Sunset DrNewark, NY 14513-1068 · Phone (315) 332-2337 · Fax (315) 332-2702

Location 22 Coulter RdClifton Springs, NY 14432-1122 · Phone (315) 462-0316 · Fax (585) 922-0395

Other Identifiers 1

Medicaid1427568CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Naghmeh Pooya Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406824408

PECOS Enrollment IDI20210917001390

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Naghmeh Pooya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Unity Hospital Of Rochester

0.5 mi

General Acute Care Hospital

1555 LONG POND RD
Rochester, NY 14626

Reassigned Medicare billing, New York enrollment
1,442 clinicians in this Medicare group

NPI 1760421713 (585) 723-7000

Rochester General Hospital

0.6 mi

Family Medicine

2350 RIDGEWAY AVE
Rochester, NY 14626

Reassigned Medicare billing, New York enrollment
2,285 clinicians in this Medicare group

NPI 1356412712 (585) 922-3150

Clifton Springs Sanitarium Co

33 mi

General Acute Care Hospital

2 COULTER RD
Clifton Springs, NY 14432

Reassigned Medicare billing, New York enrollment
872 clinicians in this Medicare group

NPI 1366505463 (315) 462-9561

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

97 services64 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

75 services37 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

44 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services17 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330226

Location1555 Long Pond RoadRochester, NY 14626 · Monroe County

Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14626 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.88 typical visit price

range $54.87 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.47

Promoting Interoperability

100

Improvement Activities

Cost

59.51

Other Providers at the Same Location NPPES 18

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

GRANT DOUGLAS SCHLEIFER MD, MPH

Physical Medicine & Rehabilitation