Individual provider Active NPI

Ingrid Carolina Madero, MD

  • Psychiatry Physician
  • Clifton Springs, NY
National Provider Identifier
1366616047
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
264272 Issued in NY
Practice address
2 Coulter Rd FL 2
Clifton Springs, NY 14432-1122
Phone
(315) 462-2000
Fax
(315) 462-6373
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 264272 NY
Psychiatry Physician 2084P0800X 264272 NY Primary

Addresses

Primary practice location

2 Coulter Rd FL 2
Clifton Springs, NY 14432-1122

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

301 Prospect Ave
Cpep
Syracuse, NY 13203-1807
Phone (315) 726-8610

Other names 1

  • Dr. Ingrid Carolina Hernandez Selman Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ihernandezselman219291@direct.rochesterregional.org 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
I20131007001497 NY Practitioner - Psychiatry 9032343074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians

Practice addresses (Care Compare)

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264272NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton Springs Sanitarium Co CurrentSince Aug 1, 2017 Accepting new patients
Rochester General Hospital Psychiatry Current Accepting new patients
Rochester General Hospital CurrentSince Aug 1, 2017 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jun 9, 2024 Accepting new patients
Rochester General Hospital CurrentSince Aug 1, 2017 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Clifton Springs Sanitarium Co Past Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

2 Coulter Rd
Fl 2
Clifton Springs, NY 14432
Phone (315) 462-2000

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

89 Genesee St
Rochester, NY 14611
Phone (585) 723-7000

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

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 1

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1366616047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COULTER RD FL 2",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-462-2000",
            "fax_number": "315-462-6373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Prospect Ave",
            "address_2": "CPEP",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132031807",
            "country_code": "US",
            "telephone_number": "315-726-8610",
            "fax_number": "315-726-8671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADERO",
        "first_name": "INGRID",
        "middle_name": "CAROLINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "264272",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "264272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ihernandezselman219291@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2 Coulter Rd Fl 2",
            "city": "Clifton Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144321122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "INGRID",
            "last_name": "HERNANDEZ SELMAN",
            "middle_name": "CAROLINA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clifton Springs, NY

Sources for this page

Verify at the official NPI Registry.