Individual provider Active NPI

Wail Tfankji, MD

  • Pediatrics Physician
  • Rochester, NY
National Provider Identifier
1316364391
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
289706 Issued in NY
Practice address
900 Elmgrove Rd
Rochester, NY 14624-6236
Phone
(585) 426-4100
NPI assigned
Mar 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 289706 NY Primary

Addresses

Primary practice location

900 Elmgrove Rd
Rochester, NY 14624-6236

Mailing address

900 Elmgrove Rd
Rochester, NY 14624-6236
Phone (585) 426-4100

Other practice location 1

3901 Rainbow Blvd
M/S 4004
Kansas City, KS 66160-8500
Phone (913) 588-6917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289706NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Pediatrics, PLLC Pediatrics Past Accepting new patients
Rochester General Hospital Past Accepting new patients
Genesis Pediatrics, LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drwailtfankji@eastsidepediatrics.medentdirect.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316364391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ELMGROVE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146246236",
            "telephone_number": "585-426-4100",
            "fax_number": "585-426-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ELMGROVE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146246236",
            "telephone_number": "585-426-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Rainbow Blvd",
            "address_2": "M/S 4004",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661608500",
            "country_code": "US",
            "telephone_number": "913-588-6917",
            "fax_number": "913-588-6280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TFANKJI",
        "first_name": "WAIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "289706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.