Individual provider Active NPI

Caren Douenias, M.D.

  • Neurology Physician
  • Big Flats, NY
National Provider Identifier
1114009958
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
166658 Issued in NY
Practice address
84 Canal St
Big Flats, NY 14814-8968
Phone
(607) 301-4141
Fax
(607) 301-4140
NPI assigned
Oct 20, 2006
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 166658 NY Primary

Addresses

Primary practice location

84 Canal St
Big Flats, NY 14814-8968

Mailing address

601 Elmwood Ave
Box 278984
Rochester, NY 14642-0001
Phone (585) 784-9277

Other identifiers 1

IdentifierTypeStateIssuer
01351546MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cdouenias110068@direct.urmc.rochester.edu Direct
Direct Messaging Address cdouenias110068@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
I20090423000187 NY Practitioner - Neurology 1153479571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as group
Quality
69.94
Promoting interoperability
100
Improvement activities
40
Cost
86.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
166658NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U of R Neurology Department Neurology CurrentSince Oct 29, 2016 Accepting new patients
University of Rochester CurrentSince Oct 29, 2016 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester Neurosurgery Group CurrentSince Sep 3, 2017 Accepting new patients
University of Rochester CurrentSince Oct 29, 2016 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients

Locations

84 Canal St
Big Flats, NY 14814
Phone (607) 301-4141

56 E 1st St
Corning, NY 14830
Phone (607) 962-2443

1445 Portland Ave
Ste 305
Rochester, NY 14621
Phone (585) 275-8344

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

601 Elmwood Ave
#278984
Rochester, NY 14642
Phone (585) 275-1200

Interoperability endpoints

  • Direct secure messaging: cdouenias110068@direct.urmc.rochester.edu

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1114009958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 278984",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-784-9277",
            "fax_number": "585-424-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 CANAL ST",
            "city": "BIG FLATS",
            "state": "NY",
            "postal_code": "148148968",
            "telephone_number": "607-301-4141",
            "fax_number": "607-301-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUENIAS",
        "first_name": "CAREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "166658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01351546",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdouenias110068@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": "cdouenias110068@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 Big Flats, NY

Sources for this page

Verify at the official NPI Registry.