Active NPI
Matthew Stevens, M.D.
- Pediatrics Physician
- Fairport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 293399
- Practice address
- 6687 Pittsford Palmyra Rd
Fairport, NY 14450-3403 - Phone
- (585) 678-8080
- NPI assigned
- Mar 30, 2015
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 293399 | NY | Primary |
Addresses
Primary practice location
6687 Pittsford Palmyra Rd
Fairport, NY 14450-3403
Mailing address
6687 Pittsford Palmyra Rd
Fairport, NY 14450-3403
Phone (585) 678-8080
Other practice location 1
1800 Maple Rd Ste 100
Williamsville, NY 14221-2749
Phone (716) 636-5437
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293399 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Memorial Medical Center | Current | Accepting new patients | |
| Western New York Medical Practice P.C | Current | Accepting new patients | |
| Rochester General Hospital | Pediatrics | Current | Accepting new patients |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Pediatrics | Current | Accepting new patients |
| United Memorial Medical Center | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Pediatric and Adolescent Urgent Care of Western New York | Past | Accepting new patients |
Locations
16 Bank St
Batavia, NY 14020
Phone (585) 344-4800
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 9
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.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- General Acute Care Hospital
- Batavia, NY
- NPI 1902800352
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
Pediatrics
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- Family Medicine Physician
- Batavia, NY
- NPI 1669747085
-
- Ophthalmology Physician
- Pittsford, NY
- NPI 1891359824
-
- Urgent Care Clinic/Center
- Williamsville, NY
- NPI 1922300516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1154716041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6687 PITTSFORD PALMYRA RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503403",
"telephone_number": "585-678-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6687 PITTSFORD PALMYRA RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503403",
"telephone_number": "585-678-8080"
}
],
"practiceLocations": [
{
"address_1": "1800 Maple Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Williamsville",
"state": "NY",
"postal_code": "142212749",
"country_code": "US",
"telephone_number": "716-636-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "MATTHEW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-30",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "293399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.