Individual provider Active NPI

Alice P Pentland, MD

  • Dermatology Physician
  • Rochester, NY
National Provider Identifier
1215966718
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2055741 Issued in NY
Practice address
601 Elmwood Ave
Rochester, NY 14642-0001
Phone
(585) 275-7546
Fax
(585) 461-3509
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 205574 NY
Dermatology Physician 207N00000X 2055741 NY Primary

Addresses

Primary practice location

601 Elmwood Ave
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave
Box 697
Rochester, NY 14642-0001
Phone (585) 275-7546

Other identifiers 1

IdentifierTypeStateIssuer
01720474MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address apentland4881@direct.urmc.rochester.edu Direct
Direct Messaging Address apentland4881@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
I20110330000368 NY Practitioner - Dermatology 4486837317 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Dermatology AssociatesGroup PAC ID 5698736460, 26 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

40 Celebration Dr
Rochester, NY 14620-2664
Phone (585) 275-7546

400 Red Creek Dr
Suite 200
Rochester, NY 14623-4281
Phone (585) 275-7546

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-7546

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Highland Hospital Hospital, Rochester, NY, CCN 330164

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions166
Removal or shaving of skin growth1-10
Skin biopsy59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205574NYMDDermatology Physician
2055741NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Dermatology Associates Dermatology CurrentSince Jan 16, 1997 Accepting new patients
County of Monroe CurrentSince Jan 1, 2016 Accepting new patients
University of Rochester Current Accepting new patients
University Dermatology Associates Dermatology CurrentSince Jan 16, 1997 Accepting new patients
University of Rochester CurrentSince Jun 1, 2018 Accepting new patients
University of Rochester CurrentSince Jun 1, 2018 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
County of Monroe CurrentSince Jan 1, 2016 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients

Locations

40 Celebration Dr
Rochester, NY 14620
Phone (585) 275-0193

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

601 Elmwood Ave
#697
Rochester, NY 14642
Phone (585) 273-4412

400 Red Creek Dr
Ste 200
Rochester, NY 14623
Phone (585) 275-7546

435 E Henrietta Rd
Rochester, NY 14620
Phone (585) 760-5466

Organizations & group practices 9

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 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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1215966718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 697",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-7546",
            "fax_number": "585-461-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-7546",
            "fax_number": "585-461-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTLAND",
        "first_name": "ALICE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "205574",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "2055741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01720474",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apentland4881@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"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apentland4881@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.