NPIMap

Individual provider Active NPI

Jeffrey Caleb Haynes, MD

  • Radiation Oncology Physician
  • Rochester, NY
National Provider Identifier
1013073873
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
252834-1 Issued in NY
Practice address
1425 Portland Avenue
Rochester, NY 14621
Phone
(585) 922-4031
Fax
(585) 922-2971
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MT184278 PA
Radiation Oncology Physician 2085R0001X 252834-1 NY Primary

Addresses

Primary practice location

1425 Portland Avenue
Rochester, NY 14621

Mailing address

1425 Portland Avenue
Rochester, NY 14621
Phone (585) 922-4031

Other identifiers 1

IdentifierTypeStateIssuer
03106163MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090629000077 NY Practitioner - Radiation Oncology 8325199565 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Perelman School of Med at the University of Pennsylvania, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians

Practice addresses (Care Compare)

127 N St
Batavia, NY 14020-1631

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 429-2289

1565 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7366

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711

20 Hagen Dr
Rochester, NY 14625-2666
Phone (585) 922-9770

229 Summit St
Batavia, NY 14020-1645

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073
  • Clifton Springs Hospital and Clinic Hospital, Clifton Springs, NY, CCN 330265
  • Unity Hospital Hospital, Rochester, NY, CCN 330226

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252834-1NYMDRadiation Oncology Physician
MT184278PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Memorial Medical Center Current Accepting new patients
Rochester General Hospital CurrentSince Sep 1, 2018 Accepting new patients
The Unity Hospital of Rochester CurrentSince Mar 17, 2021 Accepting new patients
Newark Wayne Community Hospital CurrentSince Sep 1, 2018 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Sep 1, 2018 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Sep 1, 2018 Accepting new patients
United Memorial Medical Center CurrentSince Jan 1, 2016 Accepting new patients
Newark Wayne Community Hospital CurrentSince Sep 1, 2018 Accepting new patients
Rochester General Hospital CurrentSince Sep 1, 2018 Accepting new patients
Clifton Springs Sanitarium Company Past Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

127 North St
Batavia, NY 14020
Phone (585) 267-7510

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

111 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2022

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

20 Hagen Dr
Ste 100
Rochester, NY 14625
Phone (585) 922-4020

1425 Portland Ave
#304
Rochester, NY 14621
Phone (585) 922-0866

Organizations & group practices 12

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 11

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1013073873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-922-4031",
            "fax_number": "585-922-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-922-4031",
            "fax_number": "585-922-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "JEFFREY",
        "middle_name": "CALEB",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MT184278",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "252834-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03106163",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.