Individual provider Active NPI

Jaroslaw J Fedorowski, MD

  • Cardiology Technician
  • Rochester, NY
National Provider Identifier
1174570675
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiology TechnicianTaxonomy code 246W00000X
License
205964 Issued in NY
Practice address
200 Buell Rd
Suite 10
Rochester, NY 14624-3134
Phone
(585) 235-3220
Fax
(585) 235-3231
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiology Technician 246W00000X 205964 NY Primary

Addresses

Primary practice location

200 Buell Rd
Suite 10
Rochester, NY 14624-3134

Mailing address

200 Buell Rd
Suite 10
Rochester, NY 14624-3134
Phone (585) 235-3220

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
I20061031000293 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2365449501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champlain Valley Physicians Hospital Medical CenterGroup PAC ID 2769396878, 356 clinicians

Practice addresses (Care Compare)

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

Hospital & facility affiliations

  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
  • Adirondack Medical Center - Saranac Lake Hospital, Saranac Lake, NY, CCN 330079

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Valley Pathology, PLLC Current Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Oct 1, 2009 Accepting new patients
Plattsburgh Internal Medicine Past Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Past Accepting new patients
Afterhours Imaging, LLC Past Accepting new patients
C J M Medical PC Past Accepting new patients

Locations

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

135 S Peru St
Plattsburgh, NY 12901
Phone (518) 561-1321

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

Interoperability endpoints

  • Direct secure messaging: jfedorowski472595@direct.uvmhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174570675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BUELL RD",
            "address_2": "SUITE 10",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243134",
            "telephone_number": "585-235-3220",
            "fax_number": "585-235-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BUELL RD",
            "address_2": "SUITE 10",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243134",
            "telephone_number": "585-235-3220",
            "fax_number": "585-235-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDOROWSKI",
        "first_name": "JAROSLAW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": "NY",
            "license": "205964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.