Individual provider Active NPI

Andrew T Nelson

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
National Provider Identifier
1356921399
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
329026 Issued in NY
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone
(214) 456-2735
NPI assigned
Apr 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 329026 NY Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Mailing address

601 Elmwood Avenue
Rochester, NY 14642
Phone (858) 273-4135

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
I20240709001992 NY Practitioner - Pathology 9335684836 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Hospital of RochesterGroup PAC ID 5496641631, 403 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians
St James HospitalGroup PAC ID 0345154480, 130 clinicians

Practice addresses (Care Compare)

1000 S Ave
Rochester, NY 14620-2733

111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-8639

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

350 Parrish St
Canandaigua, NY 14424-1731
Phone (585) 396-6000

470 Collins St
Avon, NY 14414-1466
Phone (585) 226-2640

601 Elmwood Ave
Rochester, NY 14642-0001

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

7309 Seneca Rd N
Hornell, NY 14843-9691

7329 Seneca Rd N
Hornell, NY 14843-9684
Phone (607) 247-2200

738 Library Rd
Rochester, NY 14642-0001
Phone (585) 275-2638

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Frederick Ferris Thompson Hospital CurrentSince Jul 1, 2024 Accepting new patients
St James Hospital CurrentSince Aug 3, 2024 Accepting new patients
Nicholas H. Noyes Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jul 1, 2024 Accepting new patients
University of Rochester CurrentSince Jul 1, 2024 Accepting new patients
University of Rochester CurrentSince Jul 1, 2024 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2024 Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2024 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

73 Buffalo St
Ste 100
Canandaigua, NY 14424

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

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

601 Elmwood Ave
#320
Rochester, NY 14642

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Organizations & group practices 11

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 6

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1356921399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14642",
            "telephone_number": "858-273-4135",
            "fax_number": "585-273-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "214-456-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ANDREW",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2024-07-16",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "329026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.