Individual provider Active NPI

Jean Thechelet Mandat, DO

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1174903520
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
293746 Issued in NY
Practice address
1300 Jefferson Rd Ste 500
Rochester, NY 14623-3197
Phone
(585) 413-1800
NPI assigned
Jun 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 293746 NY Primary

Addresses

Primary practice location

1300 Jefferson Rd Ste 500
Rochester, NY 14623-3197

Mailing address

601 Elmwood Ave Box 655
Rochester, NY 14642-8655

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmandat242804@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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180824001133 NY Practitioner - Family Practice 0941559942 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Rochester Urgent CareGroup PAC ID 2567772676, 63 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

2134 Penfield Rd
Penfield, NY 14526-1736
Phone (585) 276-8280

3400 Monroe Ave
Rochester, NY 14618-4725
Phone (585) 203-1055

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 784-2972

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Jul 16, 2018 Accepting new patients
University of Rochester CurrentSince Jan 1, 2025 Accepting new patients
University of Rochester Urgent Care CurrentSince Jan 1, 2025 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Current Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Dec 20, 2021 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Dec 20, 2021 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Family Medicine CurrentSince Jul 16, 2018 Accepting new patients
University of Rochester CurrentSince Jan 1, 2025 Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

73 Buffalo St
Ste 100
Canandaigua, NY 14424

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

1300 Jefferson Rd
Ste 500
Rochester, NY 14623
Phone (585) 413-1800

3400 Monroe Ave
Rochester, NY 14618
Phone (585) 203-1055

601 Elmwood Ave
#655
Rochester, NY 14642
Phone (585) 275-9555

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

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

3101 Shippers Rd
Ste 203
Vestal, NY 13850
Phone (607) 786-4822

Interoperability endpoints

  • Direct secure messaging: jmandat242804@direct.urmc.rochester.edu

Organizations & group practices 8

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 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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1174903520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 655",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146428655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 JEFFERSON RD STE 500",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233197",
            "telephone_number": "585-413-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDAT",
        "first_name": "JEAN",
        "middle_name": "THECHELET",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "293746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmandat242804@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

Verify at the official NPI Registry.