Kathleen Ann Dodge, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F3033251 Issued in NY

Practice address

601 Elmwood Ave
Box Med-HMD
Rochester, NY 14642-0001

Phone

(585) 273-1636

Fax

(585) 276-2212

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Rochester Neurosurgery GroupGroup PAC ID 5294733747, 50 clinicians

The Frederick Ferris Thompson HospitalGroup PAC ID 3274428586, 227 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074

Merit-based Incentive Payment System (MIPS)

Final score

89.84 of 100Reported as group

Quality

68.36

Promoting interoperability

100

Improvement activities

40

Cost

81.1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Frederick Ferris Thompson Hospital

  • General Acute Care Hospital
  • Canandaigua, NY
  • NPI 1194776351
  Medicare reassignment Care Compare group NPD
• University of Rochester Neurosurgery Group

  • Neurological Surgery Physician
  • Rochester, NY
  • NPI 1780783746
  Medicare reassignment Care Compare group NPD
• Highland Hospital of Rochester

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1902221518
  Medicare reassignment NPD
• Internal Medicine Group

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1649220393
  Medicare reassignment NPD
• Highland Hospital of Rochester

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1376820241

  Geriatric Medicine

  NPD
• Highland Hospital of Rochester

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1962725739
  NPD
• Internal Medicine Group

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Rochester, NY
  • NPI 1184255176
  NPD
• The Frederick Ferris Thompson Hospital

  • Community/Retail Pharmacy
  • Victor, NY
  • NPI 1831914274
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Frederick Ferris Thompson Hospital

  • General Acute Care Hospital
  • Canandaigua, NY
  • NPI 1194776351
  Care Compare affiliation

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1023059847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX MED-HMD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-273-1636",
            "fax_number": "585-276-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX MED-HMD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-273-1636",
            "fax_number": "585-276-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "303325",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F3033251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02757606",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdodge2308@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": "kdodge2308@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": []
}

• Tammy Lynn Dobson
• Lehana Doctor, LCSW-R
• Beverly J Dodd, LCSW
• Elizabeth S Dodds Ashley, PHARMD
• Kristen M Dodds
• Nicholas Jarrod Dodge
• Makenzie Dodski, M.S, CCC-SLP
• Sara Elizabeth Doe, P.A.
• Jane Krause Doeblin, M.D.
• Ralph J Doerr, M.D.

• Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.

Verify at the official NPI Registry.