Individual provider Active NPI

Katherine Whipple, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Rochester, NY
National Provider Identifier
1336349786
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
271321 Issued in NY
Practice address
3000 Monroe Ave
Rochester, NY 14618-4604
Phone
(585) 444-3937
Fax
(585) 625-0125
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 57-013045 OH
Ophthalmology Physician 207W00000X 271321 NY
Ophthalmology Physician 207W00000X A107663 CA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 271321 NY Primary

Addresses

Primary practice location

3000 Monroe Ave
Rochester, NY 14618-4604

Mailing address

3000 Monroe Ave
Rochester, NY 14618-4604
Phone (585) 444-3937

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
I20131024000977 NY Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 3173701729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
New York Medical College, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3000 Monroe Ave
Rochester, NY 14618-4604
Phone (585) 444-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107663CAMDOphthalmology Physician
271321NYMDOphthalmology Physician
57-013045OHMDStudent in an Organized Health Care Education/Training Program

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1336349786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184604",
            "telephone_number": "585-444-3937",
            "fax_number": "585-625-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184604",
            "telephone_number": "585-444-3937",
            "fax_number": "585-625-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57-013045",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "271321",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A107663",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "271321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.