Individual provider Active NPI

Filip Koritysskiy

  • Student in an Organized Health Care Education/Training Program
  • Rochester, NY
National Provider Identifier
1003557968
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
990 South Ave Ste 207
Rochester, NY 14620-2762
Phone
(585) 341-6775
Fax
(585) 341-8310
NPI assigned
Apr 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

990 South Ave Ste 207
Rochester, NY 14620-2762

Mailing address

601 Elmwood Ave
Rochester, NY 14642-0001

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826000441 NY Practitioner - Internal Medicine 5395128953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Hospital of RochesterGroup PAC ID 5496641631, 403 clinicians

Practice addresses (Care Compare)

1000 S Ave
Rochester, NY 14620-2733
Phone (585) 341-6776

Hospital & facility affiliations

  • Highland Hospital Hospital, Rochester, NY, CCN 330164
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Group CurrentSince Jul 1, 2025 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Internal Medicine Group CurrentSince Jul 1, 2025 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2025 Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2025 Accepting new patients
Highland Hospital of Rochester Past Accepting new patients

Locations

1000 South Ave
#58
Rochester, NY 14620
Phone (585) 341-6776

1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

990 South Ave
Ste 207
Rochester, NY 14620
Phone (585) 341-6660

Interoperability endpoints

  • Direct secure messaging: fkoritysskiy147052@direct.urmc.rochester.edu

Organizations & group practices 7

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.

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1003557968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SOUTH AVE STE 207",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202762",
            "telephone_number": "585-341-6775",
            "fax_number": "585-341-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORITYSSKIY",
        "first_name": "FILIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.