Active NPI
Eran Tallis, M.D.
- Clinical Genetics (M.D.) Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- 317897
- Practice address
- 601 Elmwood Ave
Rochester, NY 14642-0001 - Phone
- (585) 275-5857
- NPI assigned
- Apr 25, 2017
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1-29378 | ZZ | |
| Hematology (Internal Medicine) Physician | 207RH0000X | 1-2717 | ZZ | |
| Hematology & Oncology Physician | 207RH0003X | BP10058924 | TX | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 317897 | NY | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | 317897 | NY | Primary |
Addresses
Primary practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Mailing address
601 Elmwood Ave Box 635
Rochester, NY 14642-0001
Phone (585) 275-5857
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | etallis286520@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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Genetics and Genomics
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-5857
Hospital & facility affiliations
- Strong Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-29378 | ZZ | MD | Internal Medicine Physician |
| 1-2717 | ZZ | MD | Hematology (Internal Medicine) Physician |
| BP10058924 | TX | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiac Surgery of the University of Rochester | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| Regional Program for Prentatal Detection | Current | Accepting new patients | |
| Acute Care Trauma of the University of Rochester | Current | Accepting new patients | |
| Medical Specialty Group Dept of | Clinical Genetics (M.D.) | Current | Accepting new patients |
| University of Rochester | Internal Medicine | Current | Accepting new patients |
| University of Rochester | Internal Medicine | Current | Accepting new patients |
Locations
601 Elmwood Ave
#320
Rochester, NY 14642
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
601 Elmwood Ave
#641
Rochester, NY 14642
Phone (585) 273-3718
601 Elmwood Ave
#635
Rochester, NY 14642
Phone (585) 275-2821
2400 S Clinton Ave
Bldg G
Rochester, NY 14618
Phone (505) 341-7684
Organizations & group practices 7
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.
-
- Pediatrics Physician
- Rochester, NY
- NPI 1164451803
-
- Clinical Genetics (M.D.) Physician
- Rochester, NY
- NPI 1235183765
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- Surgical Critical Care Physician
- Rochester, NY
- NPI 1851754634
-
- Surgical Critical Care Physician
- Rochester, NY
- NPI 1689023277
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1821152588
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1164957437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE BOX 635",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-5857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-5857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLIS",
"first_name": "ERAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-25",
"last_updated": "2023-07-17",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ZZ",
"license": "1-29378",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "ZZ",
"license": "1-2717",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "BP10058924",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "317897",
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "NY",
"license": "317897",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "etallis286520@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 Jul 17, 2023; 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.