Individual provider Active NPI

Letitia Devoesick, DO

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1023045887
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
221829 Issued in NY
Practice address
500 Island Cottage Road
Rochester, NY 14612
Phone
(585) 368-6000
Fax
(585) 368-6010
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 221829 NY Primary

Addresses

Primary practice location

500 Island Cottage Road
Rochester, NY 14612

Mailing address

500 Island Cottage Road
Rochester, NY 14612
Phone (585) 368-6000

Other identifiers 1

IdentifierTypeStateIssuer
02181602MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address letitia.devoesick@rochesterregional.org

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
I20031219000231 NY Practitioner - Family Practice 9830097526 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

30 Hagen Dr
Suite 300
Rochester, NY 14625-2658
Phone (585) 242-9450

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

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 Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
221829NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Apr 3, 2024 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 14, 2017 Accepting new patients
Rochester General Hospital Family Medicine Current Accepting new patients
Rochester General Hospital CurrentSince Apr 3, 2024 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

30 Hagen Dr
Ste 300
Rochester, NY 14625
Phone (585) 381-1440

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

500 Island Cottage Rd
Rochester, NY 14612
Phone (585) 368-6000

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

Interoperability endpoints

  • Direct secure messaging: ldevoesick197199@direct.rochesterregional.org

Organizations & group practices 6

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1023045887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ISLAND COTTAGE ROAD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14612",
            "telephone_number": "585-368-6000",
            "fax_number": "585-368-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ISLAND COTTAGE ROAD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14612",
            "telephone_number": "585-368-6000",
            "fax_number": "585-368-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOESICK",
        "first_name": "LETITIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "221829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02181602",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "letitia.devoesick@rochesterregional.org",
            "affiliation": "N",
            "address_1": "500 Island Cottage Road",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.