Individual provider Active NPI

Gregory Denysenko, PA

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1215995113
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0054761 Issued in NY
Practice address
2350 Ridgeway Ave
Rochester, NY 14626-4112
Phone
(585) 225-0410
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0054761 NY Primary

Addresses

Primary practice location

2350 Ridgeway Ave
Rochester, NY 14626-4112

Mailing address

2350 Ridgeway Ave
Rochester, NY 14626-4112
Phone (585) 225-0410

Other identifiers 1

IdentifierTypeStateIssuer
00355266MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gregory.denysenko@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
I20070420000361 NY Practitioner - Physician Assistant 7214032150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
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)

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

2350 Ridgeway Ave
Rochester, NY 14626-4127

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
005476NYMDPhysical Therapy Assistant
0054761NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jan 15, 2007 Accepting new patients
Western New York Medical Practice P.C. CurrentSince May 24, 2014 Accepting new patients
Western New York Medical Practice P.C CurrentSince May 24, 2014 Accepting new patients

Locations

77 Sullys Trl
Ste 100
Pittsford, NY 14534
Phone (585) 424-6210

2350 Ridgeway Ave
Rochester, NY 14626
Phone (585) 225-0410

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

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

1425 Portland Ave
Bldg 1
Rochester, NY 14621
Phone (585) 338-1400

Interoperability endpoints

  • Direct secure messaging: gdenysenko766@direct.rochesterregional.org

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1215995113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264112",
            "telephone_number": "585-225-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264112",
            "telephone_number": "585-225-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENYSENKO",
        "first_name": "GREGORY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0054761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355266",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregory.denysenko@rochesterregional.org",
            "affiliation": "N",
            "address_1": "2350 Ridgeway Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.