Individual provider Active NPI

Nirmala Nicholas, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, NY
National Provider Identifier
1306873120
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
228290 Issued in NY
Practice address
435 E Henrietta Rd
Rochester, NY 14620-4629
Phone
(585) 760-5466
Fax
(585) 760-5467
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 228290 NY Primary
Internal Medicine Physician 207R00000X 228290 NY

Addresses

Primary practice location

435 E Henrietta Rd
Rochester, NY 14620-4629

Mailing address

435 E Henrietta Rd
Rochester, NY 14620-4629
Phone (585) 760-5466

Other identifiers 1

IdentifierTypeStateIssuer
02462682MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nnicholas6203@direct.urmc.rochester.edu Direct
Direct Messaging Address nnicholas6203@direct.urmc.rochester.edu Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808000901 NY Practitioner - Internal MedicinePractitioner - Interventional Pain Management 6406885672 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.84 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
81.1

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Highlands Living Center Inc CurrentSince Jul 1, 2013 Accepting new patients
Highland Hospital of Rochester Internal Medicine CurrentSince Jul 1, 2003 Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2003 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Wesley Gardens Corporation CurrentSince Aug 19, 2013 Accepting new patients
Aga Operating LLC Past Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

4646 Nine Mile Point Rd
Fairport, NY 14450
Phone (585) 377-0350

500 Hahnemann Trl
Pittsford, NY 14534
Phone (585) 373-1700

3 Upton Park
Rochester, NY 14607
Phone (585) 241-2100

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

5901 Lac de Ville Blvd
Rochester, NY 14618
Phone (585) 442-7960

601 Elmwood Ave
#320
Rochester, NY 14642

435 E Henrietta Rd
Rochester, NY 14620
Phone (585) 760-5466

Interoperability endpoints

  • Direct secure messaging: nnicholas6203@direct.urmc.rochester.edu

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Highlands Living CenterPittsford, NY, CCN 335786 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 7, 2003
Mar 4, 2025
MM Ewing Continuing Care CenterCanandaigua, NY, CCN 335345 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1306873120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E HENRIETTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204629",
            "telephone_number": "585-760-5466",
            "fax_number": "585-760-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E HENRIETTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204629",
            "telephone_number": "585-760-5466",
            "fax_number": "585-760-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "NIRMALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "228290",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "228290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02462682",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nnicholas6203@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nnicholas6203@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.