Individual provider Active NPI

Carolyn E. Rhodes, PA

  • Surgical Physician Assistant
  • Newark, NY
National Provider Identifier
1194230490
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
021676 Issued in NY
Practice address
1202 Driving Park Ave
Newark, NY 14513-1057
Phone
(315) 359-2690
Fax
(315) 359-2850
NPI assigned
Dec 8, 2017
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 021676 NY Primary

Addresses

Primary practice location

1202 Driving Park Ave
Newark, NY 14513-1057

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (315) 359-2850

Other practice location 1

6532 Anthony Dr
Victor, NY 14564-1422
Phone (315) 359-2690

Other practice location 2

200 North St Ste 101
Geneva, NY 14456-1561
Phone (315) 787-5200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carolyn.rhodes@rochesterregional.org

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
I20180613001001 NY Practitioner - Physician Assistant 1052666138 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1208 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 359-2640

1250 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2427

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

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

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
021676NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince May 21, 2018 Accepting new patients
Rochester General Hospital CurrentSince May 21, 2018 Accepting new patients
Newark Wayne Community Hospital CurrentSince May 2, 2020 Accepting new patients
Rochester General Hospital CurrentSince May 21, 2018 Accepting new patients
Newark Wayne Community Hospital CurrentSince May 2, 2020 Accepting new patients
Western New York Medical Practice P.C CurrentSince May 21, 2018 Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

200 North St
Ste 101
Geneva, NY 14456
Phone (315) 787-5100

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

1202 Driving Park Ave
Newark, NY 14513
Phone (315) 331-2030

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

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

6532 Anthony Dr
Victor, NY 14564
Phone (407) 453-1036

Interoperability endpoints

  • Direct secure messaging: crhodes@cfu.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1194230490",
    "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": "315-359-2850",
            "fax_number": "315-359-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "315-359-2690",
            "fax_number": "315-359-2850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6532 Anthony Dr",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145641422",
            "country_code": "US",
            "telephone_number": "315-359-2690",
            "fax_number": "315-462-2638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 North St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144561561",
            "country_code": "US",
            "telephone_number": "315-787-5200",
            "fax_number": "315-787-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "CAROLYN",
        "middle_name": "E.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "021676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carolyn.rhodes@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1202 Driving Park Ave",
            "city": "Newark",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145131057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.