Individual provider Active NPI

Galina Semenovna Radunsky, DO

  • Pediatrics Physician
  • Rochester, NY
National Provider Identifier
1174847974
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
267718 Issued in NY
Practice address
125 Lattimore Rd Ste 280
Rochester, NY 14620-4157
Phone
(585) 275-2455
Fax
(585) 922-8260
NPI assigned
Mar 23, 2010
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 267718 NY Primary

Addresses

Primary practice location

125 Lattimore Rd Ste 280
Rochester, NY 14620-4157

Mailing address

601 Elmwood Ave Box 635
Rochester, NY 14642-0001
Phone (585) 275-2455

Other practice location 1

1555 Long Pond Rd
Rochester, NY 14626-4164
Phone (585) 368-4020

Other practice location 2

222 Alexander St Ste 4100
Rochester, NY 14607-4056
Phone (585) 922-8230

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
I20130807000750 NY Practitioner - Pediatric Medicine 3779725502 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jul 1, 2013 Accepting new patients
Pediatrics & Adolescent Medicine Group CurrentSince Oct 1, 2023 Accepting new patients
Rochester General Hospital CurrentSince Jul 1, 2013 Accepting new patients
Rochester General Hospital Pediatrics Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Mar 12, 2024 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
English Road Pediatrics and Adolescent Medicine Pediatrics Past Accepting new patients

Locations

125 Lattimore Rd
Ste 280
Rochester, NY 14620
Phone (585) 241-8935

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1800 English Rd
Ste 10
Rochester, NY 14616
Phone (585) 225-2525

222 Alexander St
Ste 4100
Rochester, NY 14607
Phone (585) 922-8225

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

601 Elmwood Ave
#635
Rochester, NY 14642
Phone (585) 275-2821

Interoperability endpoints

  • Direct secure messaging: galinaradunskydo@erpam.medentdirect.com

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, 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": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1174847974",
    "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": "585-275-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LATTIMORE RD STE 280",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204157",
            "telephone_number": "585-275-2455",
            "fax_number": "585-922-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264164",
            "country_code": "US",
            "telephone_number": "585-368-4020",
            "fax_number": "585-368-4009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Alexander St Ste 4100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146074056",
            "country_code": "US",
            "telephone_number": "585-922-8230",
            "fax_number": "585-922-8260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADUNSKY",
        "first_name": "GALINA",
        "middle_name": "SEMENOVNA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "267718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.