Individual provider Active NPI

David Terp, PA

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1225001217
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
000410 Issued in NY
Practice address
370 E Ridge Rd
Suite 400
Rochester, NY 14621-1240
Phone
(585) 922-0600
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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 000410 NY Primary

Addresses

Primary practice location

370 E Ridge Rd
Suite 400
Rochester, NY 14621-1240

Mailing address

370 E Ridge Rd
Suite 400
Rochester, NY 14621-1240
Phone (585) 922-0600

Other practice location 1

1331 E Victor Rd
Victor, NY 14564-9306
Phone (585) 924-7667

Other identifiers 1

IdentifierTypeStateIssuer
01953837MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dterp10450@direct.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
I20041122000500 NY Practitioner - Physician Assistant 3274598024 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000410NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C CurrentSince May 28, 2013 Accepting new patients
Rochester General Hospital CurrentSince Jun 1, 1999 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 1, 2018 Accepting new patients
Western New York Medical Practice P.C. CurrentSince May 28, 2013 Accepting new patients

Locations

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

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

370 E Ridge Rd
Ste 400
Rochester, NY 14621
Phone (585) 922-0600

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

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

1331 E Victor Rd
Victor, NY 14564
Phone (585) 498-2280

Interoperability endpoints

  • Direct secure messaging: dterp10450@direct.rochesterregional.org

Organizations & group practices 7

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1225001217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E RIDGE RD",
            "address_2": "SUITE 400",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211240",
            "telephone_number": "585-922-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E RIDGE RD",
            "address_2": "SUITE 400",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211240",
            "telephone_number": "585-922-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 E Victor Rd",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145649306",
            "country_code": "US",
            "telephone_number": "585-924-7667",
            "fax_number": "585-924-8944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERP",
        "first_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "000410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01953837",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dterp10450@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "370 E Ridge Rd",
            "address_2": "Suite 400",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146211240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.