Individual provider Active NPI

Kathryn Mattle, RPA

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1184649931
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
009133 Issued in NY
Practice address
1561 Long Pond Rd Ste 404
Rochester, NY 14626-4135
Phone
(585) 225-7550
Fax
(585) 225-7719
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 009133 NY Primary

Addresses

Primary practice location

1561 Long Pond Rd Ste 404
Rochester, NY 14626-4135

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

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

Other identifiers 1

IdentifierTypeStateIssuer
02445187MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmattle182125@direct.rochestergeneral.org 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602000546 NY Practitioner - Physician Assistant 0345283222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1561 Long Pond Rd
Suite 414
Rochester, NY 14626-4117
Phone (585) 723-7750

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

500 Island Cottage Rd
Rochester, NY 14612-2308
Phone (585) 368-6040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9133NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Jan 1, 2005 Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

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

1561 Long Pond Rd
Ste 404
Rochester, NY 14626
Phone (585) 225-7550

500 Island Cottage Rd
Rochester, NY 14612
Phone (585) 368-6000

Interoperability endpoints

  • Direct secure messaging: kmattle182125@direct.rochestergeneral.org

Organizations & group practices 2

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 7

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1184649931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 LONG POND RD STE 404",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264135",
            "telephone_number": "585-225-7550",
            "fax_number": "585-225-7719"
        }
    ],
    "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": "585-368-4182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTLE",
        "first_name": "KATHRYN",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02445187",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmattle182125@direct.rochestergeneral.org",
            "affiliation": "N",
            "endpointDescription": "Rochester Regional Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Rochester Regional Health",
            "address_1": "1561 Long Pond Rd Ste 404",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.