Active NPI
Edgar Allan Bartolome, PA-C
- Physician Assistant
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 601 Elmwood Ave
Rochester, NY 14642-2223 - Phone
- (808) 938-0449
- NPI assigned
- Dec 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NY | Primary | |
| Physician Assistant | 363A00000X | 27666 | NY |
Addresses
Primary practice location
601 Elmwood Ave
Rochester, NY 14642-2223
Mailing address
601 Elmwood Ave Box Med
Rochester, NY 14642-0001
Phone (585) 275-2877
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebartolome243908@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | ebartolome243908@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | ebartolome243908@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211213001101 | NY | Practitioner - Physician Assistant | 2668862343 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cardiology Clinical GroupSt James Hospital
Practice addresses (Care Compare)
140 Canal View Blvd
Suite 102
Rochester, NY 14623-2808
Phone (585) 242-9450
1835 Fairport Nine Mile Point Rd
Suite 200
Penfield, NY 14526-1903
Phone (585) 338-2700
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2475
601 Elmwood Ave Box
Rochester, NY 14642-0001
7309 Seneca Rd N
Hornell, NY 14843-9691
999 E Ridge Rd
Suite 1000
Rochester, NY 14621-1936
Phone (585) 338-2700
Hospital & facility affiliations
- Strong Memorial Hospital
- St James Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 69.24
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 80.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027666 | NY | MD | Occupational Therapist |
| 27666 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Medical of New York PC | Current | Accepting new patients | |
| Hawaii Behavioral Health, LLC | Past | Accepting new patients | |
| Hawaii Behavioral Health, LLC | Past | Accepting new patients |
Locations
1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
Interoperability endpoints
- ebartolome243908@direct.urmc.rochester.edu
Organizations & group practices 5
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.
-
- Marriage & Family Therapist
- Honolulu, HI
- NPI 1699430777
-
- Community/Behavioral Health Agency
- Honolulu, HI
- NPI 1881742104
Hospital & facility affiliations 3
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": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1003387135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE BOX MED",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146422223",
"telephone_number": "808-938-0449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTOLOME",
"first_name": "EDGAR ALLAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-16",
"last_updated": "2023-07-17",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "27666",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ebartolome243908@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Manual",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146422223",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ebartolome243908@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ebartolome243908@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.