Organization Active NPI

Flower City Medical Group LLP

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1346095254
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FLOWER CITY MEDICAL GROUP LLP
Practice address
1815 S Clinton Ave Ste 620
Rochester, NY 14618-5723
Phone
(585) 319-5354
Fax
(833) 450-5339
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Edith Dale, MDNPI 1609876838
Title
General Partner
Phone
(585) 733-5822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1815 S Clinton Ave Ste 620
Rochester, NY 14618-5723

Mailing address

1815 S Clinton Ave Ste 620
Rochester, NY 14618-5723
Phone (585) 319-5354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240905000692 NY Part B Supplier - Clinic/Group Practice 3577003573 Receives reassigned benefits from 3 practitioners
Practice locations: Rochester, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2303634Flower City Medical Group1815 S Clinton Ave, Suite 620, Rochester, NY 14618Certificate of waiverApr 28, 2028

National Provider Directory

National Provider Directory

Locations

1815 S Clinton Ave
Ste 620
Rochester, NY 14618
Phone (585) 319-5354

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1346095254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S CLINTON AVE STE 620",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185723",
            "telephone_number": "585-319-5354",
            "fax_number": "833-450-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S CLINTON AVE STE 620",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185723",
            "telephone_number": "585-319-5354",
            "fax_number": "833-450-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOWER CITY MEDICAL GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "585-733-5822",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.