NPIMap

Individual provider Active NPI

Nashat S. Atalla, M.D.

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1245208065
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0062594 Issued in MD
Practice address
82 Holland Street
Aljhc
Rochester, NY 14605
Phone
(585) 423-5800
Fax
(585) 423-2890
NPI assigned
Mar 9, 2006
Last updated
Aug 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0062594 MD Primary

Addresses

Primary practice location

82 Holland Street
Aljhc
Rochester, NY 14605

Mailing address

82 Holland Street
Aljhc
Rochester, NY 14605
Phone (585) 423-5800

Other identifiers 2

IdentifierTypeStateIssuer
03336234MedicaidNY
1866233OtherNYGHI

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
I20110516000194 NY Practitioner - Internal Medicine 8921020934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

82 Holland St
Rochester, NY 14605-2131
Phone (585) 423-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0062594MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony L. Jordan Health Corporation CurrentSince Aug 4, 2025 Accepting new patients
Anthony L. Jordan Health Corporation Current Accepting new patients
The Good Samaritan Hospital of Maryland, Inc. Past Accepting new patients
David a. Spott, M.D., P.a. Past Accepting new patients

Locations

214 Lake Ave
#A
Rochester, NY 14608
Phone (585) 784-5901

214C Lake Ave
Rochester, NY 14608

82 Holland St
Rochester, NY 14605
Phone (585) 423-5800

Interoperability endpoints

  • Direct secure messaging: nashat.atalla@jh.eclinicaldirectplus.com

Organizations & group practices 5

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 4

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1245208065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 HOLLAND STREET",
            "address_2": "ALJHC",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14605",
            "telephone_number": "585-423-5800",
            "fax_number": "585-423-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 HOLLAND STREET",
            "address_2": "ALJHC",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14605",
            "telephone_number": "585-423-5800",
            "fax_number": "585-423-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATALLA",
        "first_name": "NASHAT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0062594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03336234",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "1866233",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.