Individual provider Active NPI

Cassandre S Victor-Vega, MD

  • Anesthesiology Physician
  • Rochester, NY
National Provider Identifier
1255518502
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
261584-1 Issued in NY
Practice address
601 Elmwood Ave
Box 604 Department of Anesthesiology
Rochester, NY 14642-0001
Phone
(585) 275-1384
Fax
(585) 276-0122
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT191379 PA
Anesthesiology Physician 207L00000X 261584-1 NY Primary

Addresses

Primary practice location

601 Elmwood Ave
Box 604 Department of Anesthesiology
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave
Box 604 Department of Anesthesiology
Rochester, NY 14642-0001
Phone (585) 275-1384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20120925000492 MA Practitioner - Anesthesiology 7214107358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Pittsburgh School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 794-8121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
261584-1NYMDAnesthesiology Physician
MT191379PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Anesthesia Service, Inc. Anesthesiology CurrentSince Jul 1, 2012 Accepting new patients
Baystate Medical Practices, Inc CurrentSince Jan 1, 2025 Accepting new patients
Umass Memorial Medical Group Inc Anesthesiology Past Accepting new patients

Locations

164 High St
Greenfield, MA 01301
Phone (413) 772-0211

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

908 Allen St
Springfield, MA 01118
Phone (413) 732-5139

Organizations & group practices 3

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 5

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": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1255518502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 604 DEPARTMENT OF ANESTHESIOLOGY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-1384",
            "fax_number": "585-276-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 604 DEPARTMENT OF ANESTHESIOLOGY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-1384",
            "fax_number": "585-276-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR-VEGA",
        "first_name": "CASSANDRE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT191379",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "261584-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.