Individual provider Active NPI

Linh K Colegrove, NP

  • Dermatology Physician
  • Pittsford, NY
National Provider Identifier
1275095705
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
F3433775-1 Issued in NY
Practice address
141 Sullys TRL Ste 11
Pittsford, NY 14534-4563
Phone
(585) 381-5800
Fax
(585) 348-9461
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X F3433775-1 NY Primary

Addresses

Primary practice location

141 Sullys TRL Ste 11
Pittsford, NY 14534-4563

Mailing address

141 Sullys TRL Ste 11
Pittsford, NY 14534-4563
Phone (585) 381-5800

Other identifiers 1

IdentifierTypeStateIssuer
F343375-1OtherNYNP LICENSE

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
I20190506002037 NY Practitioner - Nurse Practitioner 3072855386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Dermatology of Rochester PLLCGroup PAC ID 3971751801, 4 clinicians

Practice addresses (Care Compare)

141 Sullys TRL
Suite 11
Pittsford, NY 14534-4563
Phone (585) 381-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F3433775-1NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Dermatology of Rochester, PLLC Dermatology CurrentSince May 1, 2019 Accepting new patients

Locations

141 Sullys Trl
Ste 11
Pittsford, NY 14534
Phone (585) 381-5800

900 Winton Rd S
Rochester, NY 14618
Phone (585) 244-4510

Interoperability endpoints

  • Direct secure messaging: lbui1@rochester.emadirect.md

Organizations & group practices 1

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1275095705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SULLYS TRL STE 11",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344563",
            "telephone_number": "585-381-5800",
            "fax_number": "585-348-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SULLYS TRL STE 11",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344563",
            "telephone_number": "585-381-5800",
            "fax_number": "585-348-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEGROVE",
        "first_name": "LINH",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "F3433775-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "F343375-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.