Active NPI
Lyle Prairie, MD
- Anesthesiology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 206263-1
- Practice address
- 1425 Portland Ave
Rochester General Hospital
Rochester, NY 14621-3001 - Phone
- (585) 922-4159
- Fax
- (585) 922-3731
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 206263 | NY | |
| Anesthesiology Physician | 207L00000X | 206263-1 | NY | Primary |
Addresses
Primary practice location
1425 Portland Ave
Rochester General Hospital
Rochester, NY 14621-3001
Mailing address
130 Allens Creek Rd
Rochester, NY 14618-3305
Phone (585) 410-6545
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103217AF | Other | NY | PREFERRED CARE |
| P010203263 | Other | NY | EXCELLUS BLUE CHOICE |
| 0645 | Other | NY | EXCELLUS BC/BS |
| AN206263-6 | Other | NY | WORKERS' COMPENSATION |
| 01753906 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lprairie269448@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | lprairie269448@direct.urmc.rochester.edu | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711
350 Parrish St
Canandaigua, NY 14424-1731
Phone (585) 919-2668
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206263-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Rochester, P.C. | Anesthesiology | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| Clifton Springs Sanitarium Co | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| U of R Anesthesiology Group | Anesthesiology | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients |
Locations
350 Parrish St
Canandaigua, NY 14424
Phone (585) 396-6000
2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472
111 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2022
1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266
130 Allens Creek Rd
Ste 200
Rochester, NY 14618
Phone (585) 410-6545
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
130 Allens Creek Rd
Rochester, NY 14618
Phone (585) 410-6545
601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141
Interoperability endpoints
- lprairie269448@direct.urmc.rochester.edu
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Clifton Springs Hospital and Clinic
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1609806488
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1760421788
-
- General Acute Care Hospital
- Newark, NY
- NPI 1770671182
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- General Acute Care Hospital
- Newark, NY
- NPI 1346369212
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
dba Genesee Health Services
- Internal Medicine Physician
- Rochester, NY
- NPI 1760557656
-
dba Unity Physician Services
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canandaigua, NY
- NPI 1194776351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1093759318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 ALLENS CREEK RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146183305",
"telephone_number": "585-410-6545",
"fax_number": "585-410-6560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"address_2": "ROCHESTER GENERAL HOSPITAL",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213001",
"telephone_number": "585-922-4159",
"fax_number": "585-922-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAIRIE",
"first_name": "LYLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "206263",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "206263-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "103217AF",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BLUE CHOICE",
"identifier": "P010203263",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BC/BS",
"identifier": "0645",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS' COMPENSATION",
"identifier": "AN206263-6",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01753906",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lprairie269448@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": "lprairie269448@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": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.