Individual provider Active NPI

Kevin A Fiscella, M.D.

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1144332818
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
146401 Issued in NY
Practice address
777 Clinton Ave S
Rochester, NY 14620-1401
Phone
(585) 279-4800
Fax
(585) 442-8319
NPI assigned
Aug 31, 2006
Last updated
Jul 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 146401 NY Primary

Addresses

Primary practice location

777 Clinton Ave S
Rochester, NY 14620-1401

Mailing address

777 Clinton Ave S
Rochester, NY 14620-1401
Phone (585) 279-4800

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
I20130627000665 NY Practitioner - Family PracticePractitioner - Addiction Medicine 2769622562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Virginia Commonwealth University, School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

82 Holland St
Rochester, NY 14605-2131
Phone (585) 423-5800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony L. Jordan Health Corporation CurrentSince Aug 4, 2025 Accepting new patients
Strong Obstetrics-Gynecology Group Past Accepting new patients

Locations

214 Lake Ave
#A
Rochester, NY 14608
Phone (585) 784-5901

480 Genesee St
Rochester, NY 14611
Phone (585) 235-2370

82 Holland St
Rochester, NY 14605
Phone (585) 423-5800

Interoperability endpoints

  • Direct secure messaging: kevin.fiscella@jh.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1144332818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201401",
            "telephone_number": "585-279-4800",
            "fax_number": "585-442-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201401",
            "telephone_number": "585-279-4800",
            "fax_number": "585-442-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCELLA",
        "first_name": "KEVIN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "146401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.