Individual provider Active NPI

Rafael Madero, MD

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1194106930
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
323826 Issued in NY
Practice address
1425 Portland Ave
Rochester, NY 14621-3001
Phone
(585) 922-5067
NPI assigned
Jun 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 323826 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1425 Portland Ave
Rochester, NY 14621-3001

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-1900

Other practice location 1

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5536

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
I20230720002180 NY Practitioner - Family Practice 4789044835 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
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)

1300 Jefferson Rd
Suite 100
Rochester, NY 14623-3195
Phone (585) 413-1800

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

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
323826NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince May 1, 2025 Accepting new patients
Western New York Medical Practice P.C CurrentSince Oct 12, 2024 Accepting new patients
University of Rochester Urgent Care CurrentSince May 1, 2025 Accepting new patients
United Memorial Medical Center Family Medicine CurrentSince Aug 30, 2023 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 27, 2023 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
University of Rochester CurrentSince May 1, 2025 Accepting new patients
Western New York Medical Practice P.C. Family Medicine CurrentSince Oct 12, 2024 Accepting new patients
University of Rochester Current Accepting new patients
United Memorial Medical Center CurrentSince Aug 30, 2023 Accepting new patients
Rochester General Hospital CurrentSince Jul 10, 2023 Accepting new patients
Rochester General Hospital Family Medicine Current Accepting new patients
Rochester General Hospital CurrentSince Jul 10, 2023 Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

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

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

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

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

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

65 Genesee St
Rochester, NY 14611
Phone (585) 368-3531

1300 Jefferson Rd
Ste 100
Rochester, NY 14623
Phone (585) 413-1800

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

42 Nichols St
Spencerport, NY 14559
Phone (585) 349-7094

Interoperability endpoints

  • Direct secure messaging: rmadero2386911@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1194106930",
    "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",
            "telephone_number": "585-922-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213001",
            "telephone_number": "585-922-5067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132031807",
            "country_code": "US",
            "telephone_number": "315-448-5536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADERO",
        "first_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "323826",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.