Individual provider Active NPI

Douglas H Jones, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Rochester, NY
National Provider Identifier
1063461432
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
138757 Issued in NY
Practice address
222 Alexander St
Monroe Court
Rochester, NY 14607-4039
Phone
(585) 922-8350
Fax
(585) 922-8355
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 138757 NY Primary
Rheumatology Physician 207RR0500X 138757 NY
Pediatric Allergy/Immunology Physician 2080P0201X 138757 NY

Addresses

Primary practice location

222 Alexander St
Monroe Court
Rochester, NY 14607-4039

Mailing address

222 Alexander St
Monroe Court
Rochester, NY 14607-4039
Phone (585) 922-8350

Other identifiers 2

IdentifierTypeStateIssuer
03010976MedicaidNY
P00026205OtherNYRAILROAD MEDICARE

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
I20100119000568 NY Practitioner - RheumatologyPractitioner - Allergy/ImmunologyPractitioner - Internal Medicine 4880736511 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138757NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince May 29, 2001 Accepting new patients
Rochester General Hospital CurrentSince May 29, 2001 Accepting new patients
Rochester General Hospital Current Accepting new patients

Locations

222 Alexander St
Rochester, NY 14607
Phone (585) 546-3280

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

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

Organizations & group practices 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1063461432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ALEXANDER ST",
            "address_2": "MONROE COURT",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074039",
            "telephone_number": "585-922-8350",
            "fax_number": "585-922-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ALEXANDER ST",
            "address_2": "MONROE COURT",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074039",
            "telephone_number": "585-922-8350",
            "fax_number": "585-922-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DOUGLAS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NY",
            "license": "138757",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "138757",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "NY",
            "license": "138757",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03010976",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00026205",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.