Brenda B Baratta, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

179630 Issued in NY

Practice address

2021 Winton Rd S
Rochester, NY 14618-3957

Phone

(585) 784-6400

Fax

(585) 341-2370

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Jewish Home of Rochester

  • Skilled Nursing Facility
  • Rochester, NY
  • NPI 1972590206
  Medicare reassignment

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1003874322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183957",
            "telephone_number": "585-784-6400",
            "fax_number": "585-341-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183957",
            "telephone_number": "585-784-6400",
            "fax_number": "585-341-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARATTA",
        "first_name": "BRENDA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "179630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355266",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "051006000000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P010179630",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110242023",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00027338101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "106276BJ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11121547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alon Eli Bar Sheshet
• Anil Baral, M.D.
• Tatyana Baranovsky, DMD
• Taylor Ann Baranowsky, PT, DPT
• Anthony V Baratta Jr., M.D.
• Lon K Baratz, MD
• Ahmed a Habeeb Barazanchi
• John J Barbaccia, MD
• Katherine Barbaccia, ND
• Richard L Barbano, MD

• Internal Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.