Individual provider Active NPI

Raysha Janine Crawford, DO

  • Family Medicine Physician
  • Webster, NY
National Provider Identifier
1104238971
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
296698 Issued in NY
Practice address
1900 Empire Blvd Ste 100
Webster, NY 14580-1934
Phone
(585) 787-0720
Fax
(585) 787-9108
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R4204 TX
Family Medicine Physician 207Q00000X 296698 NY Primary

Addresses

Primary practice location

1900 Empire Blvd Ste 100
Webster, NY 14580-1934

Mailing address

1900 Empire Blvd Ste 100
Webster, NY 14580-1934
Phone (585) 787-0720

Other practice location 1

196 Merrick Rd
Oceanside, NY 11572-1420
Phone (516) 255-8400

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rcrawford178754@direct.urmc.rochester.edu Direct
Direct Messaging Address rcrawford178754@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315001756 NY Practitioner - Family Practice 7315287026 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4204TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Hospital of Rochester Current Accepting new patients
University of Rochester CurrentSince Jun 1, 2020 Accepting new patients
Highland Hospital of Rochester Family Medicine CurrentSince Mar 1, 2019 Accepting new patients
University of Rochester CurrentSince Jun 1, 2020 Accepting new patients
Highland Hospital of Rochester CurrentSince Mar 1, 2019 Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

601 Elmwood Ave
#320
Rochester, NY 14642

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

1900 Empire Blvd
Ste 100
Webster, NY 14580
Phone (585) 787-0720

Interoperability endpoints

  • Direct secure messaging: rcrawford178754@direct.urmc.rochester.edu

Organizations & group practices 5

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1104238971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 EMPIRE BLVD STE 100",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801934",
            "telephone_number": "585-787-0720",
            "fax_number": "585-787-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 EMPIRE BLVD STE 100",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801934",
            "telephone_number": "585-787-0720",
            "fax_number": "585-787-9108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "115721420",
            "country_code": "US",
            "telephone_number": "516-255-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "RAYSHA",
        "middle_name": "JANINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R4204",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "296698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcrawford178754@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": "rcrawford178754@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 Webster, NY

Sources for this page

Verify at the official NPI Registry.