Active NPI
Ruvim Falkovich, MD
- Pediatrics Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 203879
- Practice address
- 1425 Portland Ave
Rochester, NY 14621-3001 - Phone
- (585) 338-4941
- Fax
- (585) 467-4626
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 203879 | NY | Primary |
Addresses
Primary practice location
1425 Portland Ave
Rochester, NY 14621-3001
Mailing address
100 Kings Highway South
Provider Enrollment
Rochester, NY 14617-5504
Phone (585) 922-1304
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050915000065 | Other | NY | FIDELIS CARE # |
| 00027282401 | Other | NY | UNIVERA # |
| 00355266 | Medicaid | NY | |
| 101666DL | Other | NY | PREFERRED CARE # |
| 1214011 | Other | NY | IHA # |
| P010203879 | Other | NY | BLUE CHOICE # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ruvim.falkovich@rochesterregional.org |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203879 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Pediatrics | Current | Accepting new patients |
| Western New York Medical Practice, P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Pediatrics | Current | Accepting new patients |
| Rochester General Hospital | Past | Accepting new patients |
Locations
1425 Portland Ave
Bldg 1
Rochester, NY 14621
Phone (585) 338-1400
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
Interoperability endpoints
- rfalkovich10518@direct.rochesterregional.org
Organizations & group practices 5
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.
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
Pediatrics
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
Pediatrics
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Cardiovascular Disease Physician
- Rochester, NY
- NPI 1114322377
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1356309157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGS HIGHWAY SOUTH",
"address_2": "PROVIDER ENROLLMENT",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146175504",
"telephone_number": "585-922-1304",
"fax_number": "585-922-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213001",
"telephone_number": "585-338-4941",
"fax_number": "585-467-4626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALKOVICH",
"first_name": "RUVIM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "203879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE #",
"identifier": "050915000065",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA #",
"identifier": "00027282401",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00355266",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE #",
"identifier": "101666DL",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA #",
"identifier": "1214011",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE #",
"identifier": "P010203879",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ruvim.falkovich@rochesterregional.org",
"affiliation": "N",
"address_1": "1425 Portland Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146213001",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.