NPIMap

Individual provider Active NPI

Katie Elizabeth Dimartino, PA

  • Surgical Physician Assistant
  • Rochester, NY
National Provider Identifier
1225385305
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
015698 Issued in NY
Practice address
2655 Ridgeway Ave Ste 240
Rochester, NY 14626-4296
Phone
(585) 723-7060
Fax
(585) 723-7325
NPI assigned
Aug 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 015698 NY Primary

Addresses

Primary practice location

2655 Ridgeway Ave Ste 240
Rochester, NY 14626-4296

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

1445 Portland Ave Ste 108
Rochester, NY 14621-3008
Phone (585) 922-5550

Other practice location 2

30 Hagen Dr Ste 30
Rochester, NY 14625-2658
Phone (585) 922-5300

Other practice location 3

1555 Long Pond Rd Fl 1
Rochester, NY 14626-4164
Phone (585) 723-7000

Other practice location 4

2 Coulter Rd Ste 1680
Clifton Springs, NY 14432-1122
Phone (315) 906-4059

Other identifiers 2

IdentifierTypeStateIssuer
03524476MedicaidNY
12434137OtherNYCAQH

Other names 1

  • Katie Elizabeth Kenny Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkenny100029@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130307000200 NY Practitioner - Physician Assistant 6608021175 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians

Practice addresses (Care Compare)

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

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711

30 Hagen Dr
Suite 300
Rochester, NY 14625-2658
Phone (585) 338-2700

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

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
015698NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Jul 1, 2019 Accepting new patients
Western New York Medical Practice P.C CurrentSince Feb 1, 2020 Accepting new patients
United Memorial Medical Center CurrentSince Feb 1, 2020 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Feb 1, 2020 Accepting new patients
Rochester General Hospital CurrentSince Jul 24, 2012 Accepting new patients
United Memorial Medical Center CurrentSince Feb 1, 2020 Accepting new patients
Rochester General Hospital CurrentSince Jul 24, 2012 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

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

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

2 Coulter Rd
Ste 1680
Clifton Springs, NY 14432
Phone (315) 906-4059

2655 Ridgeway Ave
Ste 240
Rochester, NY 14626
Phone (585) 723-7060

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

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

30 Hagen Dr
Ste 30
Rochester, NY 14625
Phone (585) 922-5300

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

1445 Portland Ave
Ste 108
Rochester, NY 14621
Phone (585) 922-5550

1555 Long Pond Rd
Fl 1
Rochester, NY 14626
Phone (585) 368-4788

Interoperability endpoints

  • Direct secure messaging: kkenny100029@direct.rochesterregional.org

Organizations & group practices 11

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 8

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": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1225385305",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE STE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264296",
            "telephone_number": "585-723-7060",
            "fax_number": "585-723-7325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Portland Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213008",
            "country_code": "US",
            "telephone_number": "585-922-5550",
            "fax_number": "585-922-5950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Hagen Dr Ste 30",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252658",
            "country_code": "US",
            "telephone_number": "585-922-5300",
            "fax_number": "585-922-0450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Long Pond Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264164",
            "country_code": "US",
            "telephone_number": "585-723-7000",
            "fax_number": "585-723-7280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd Ste 1680",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-906-4059",
            "fax_number": "315-332-8780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMARTINO",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "015698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03524476",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12434137",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkenny100029@direct.rochesterregional.org",
            "affiliation": "N",
            "endpointDescription": "Rochester Regional Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Rochester Regional Health",
            "address_1": "1445 Portland Ave Ste 108",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "KENNY",
            "middle_name": "ELIZABETH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.