Individual provider Active NPI

Rohini Dilip Thodge, M.D.

  • Pediatrics Physician
  • Dunkirk, NY
National Provider Identifier
1003026147
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
002940 Issued in NY
Practice address
1134 Central Ave
Dunkirk, NY 14048-3423
Phone
(716) 366-6036
Fax
(716) 366-3177
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 002940 NY Primary

Addresses

Primary practice location

1134 Central Ave
Dunkirk, NY 14048-3423

Mailing address

908 Niagara Falls Blvd
Suite 208
North Tonawanda, NY 14120-2019
Phone (716) 692-2160

Other identifiers 1

IdentifierTypeStateIssuer
02957284MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140717000914 NY Practitioner - Pediatric Medicine 8921224577 Reassigns benefits to 1 organization
I20241022003814 CT Practitioner - Pediatric Medicine 8921224577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Community and Family Services, IncGroup PAC ID 9032012497, 71 clinicians

Practice addresses (Care Compare)

47 Town St
Norwich, CT 06360-2323
Phone (860) 892-7042

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Community and Family Services, Inc. Pediatrics CurrentSince Sep 4, 2024 Accepting new patients
General Physician, PC CurrentSince Aug 1, 2014 Accepting new patients
United Community and Family Services, Inc. Past Accepting new patients

Locations

70 Main St
Jewett City, CT 06351
Phone (860) 376-7040

47 Town St
Norwich, CT 06360

3898 Vineyard Dr
Ste 3
Dunkirk, NY 14048
Phone (716) 363-1515

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

1134 Central Ave
Dunkirk, NY 14048
Phone (716) 366-6036

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

Interoperability endpoints

  • Direct secure messaging: rthodge730763@direct.ochin.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0f28b1ab-8e47-4a25-b8ea-aeb6ede39b7d/
  • FHIR API: https://api.platform.athenahealth.com/8155/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1003026147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "SUITE 208",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-2160",
            "fax_number": "716-213-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140483423",
            "telephone_number": "716-366-6036",
            "fax_number": "716-366-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THODGE",
        "first_name": "ROHINI",
        "middle_name": "DILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "002940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02957284",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, NY

Sources for this page

Verify at the official NPI Registry.