Individual provider Active NPI

Anna De Benedetto, M.D.

  • Dermatology Physician
  • Rochester, NY
National Provider Identifier
1346658069
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
280704 Issued in NY
Practice address
601 Elmwood Ave
Rochester, NY 14642-3003
Phone
(585) 275-7546
Fax
(585) 461-3509
NPI assigned
Jul 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X PG1596 NY
Dermatology Physician 207N00000X MFC1740 FL
Dermatology Physician 207N00000X 280704 NY Primary

Addresses

Primary practice location

601 Elmwood Ave
Rochester, NY 14642-3003

Mailing address

601 Elmowwod Ave Box 697
Rochester, NY 14642-0001
Phone (585) 275-7546

Other identifiers 1

IdentifierTypeStateIssuer
015274900MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address adebenedetto94033@direct.urmc.rochester.edu Direct
Direct Messaging Address adebenedetto94033@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
I20210629003667 NY Practitioner - Dermatology 2365757812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Dermatology AssociatesGroup PAC ID 5698736460, 26 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

40 Celebration Dr
Rochester, NY 14620-2664
Phone (585) 275-7546

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions264
Skin biopsy89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MFC1740FLMDDermatology Physician
280704NYMDDermatology Physician
PG1596NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Dermatology Associates Dermatology CurrentSince Aug 1, 2021 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University Dermatology Associates Dermatology CurrentSince Aug 1, 2021 Accepting new patients
University of Rochester CurrentSince Aug 1, 2021 Accepting new patients
University of Rochester CurrentSince Aug 1, 2021 Accepting new patients
University of Rochester Current Accepting new patients

Locations

601 Elmwood Ave
#278797
Rochester, NY 14642

400 Red Creek Dr
Ste 200
Rochester, NY 14623
Phone (585) 275-7546

601 Elmwood Ave
#697
Rochester, NY 14642
Phone (585) 273-4412

40 Celebration Dr
Rochester, NY 14620
Phone (585) 275-0193

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

Interoperability endpoints

  • Direct secure messaging: adebendetto185652@direct.shands.ufl.edu
  • Direct secure messaging: adebenedetto94033@direct.urmc.rochester.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1346658069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMOWWOD AVE BOX 697",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146423003",
            "telephone_number": "585-275-7546",
            "fax_number": "585-461-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BENEDETTO",
        "first_name": "ANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "PG1596",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "MFC1740",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "280704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015274900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adebenedetto94033@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": "adebenedetto94033@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.