NPIMap

Individual provider Active NPI

Rebecca Cravens Dirks, M.D.

  • Surgery Physician
  • Rochester, NY
National Provider Identifier
1396193181
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
331005 Issued in NY
Practice address
1415 Portland Ave Ste 225
Rochester, NY 14621-3039
Phone
(585) 922-2900
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2023-01287 NC
Surgery Physician 208600000X 331005 NY Primary

Addresses

Primary practice location

1415 Portland Ave Ste 225
Rochester, NY 14621-3039

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 479-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016001342 NY Practitioner - General Surgery 1850683087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1415 Portland Ave
Rochester, NY 14621-3038
Phone (585) 922-0390

1561 Long Pond Rd
Rochester, NY 14626-4117
Phone (585) 544-2474

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Wayne Community Hospital CurrentSince Jan 23, 2025 Accepting new patients
Rochester General Hospital Surgery CurrentSince Sep 9, 2024 Accepting new patients
Newark Wayne Community Hospital Current Accepting new patients
Rochester General Hospital Current Accepting new patients
Western New York Medical Practice P.C. Surgery CurrentSince Sep 9, 2024 Accepting new patients
Rochester General Hospital CurrentSince Sep 9, 2024 Accepting new patients
Rochester General Hospital PastSince Sep 15, 2024 Accepting new patients
The Unity Hospital of Rochester Past Accepting new patients

Locations

1202 Driving Park Ave
Newark, NY 14513
Phone (315) 331-2030

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741

1561 Long Pond Rd
Ste 310
Rochester, NY 14626

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

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

1561 Long Pond Rd
Rochester, NY 14626
Phone (585) 368-4800

1415 Portland Ave
Ste 225
Rochester, NY 14621
Phone (585) 922-2900

Interoperability endpoints

  • Direct secure messaging: rdirks400406@direct.rochesterregional.org
  • Direct secure messaging: rdirks553638@direct.medicine.duke.edu

Organizations & group practices 8

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 7

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1396193181",
    "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": "1415 PORTLAND AVE STE 225",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213039",
            "telephone_number": "585-922-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3643 N Roxboro St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277042702",
            "country_code": "US",
            "telephone_number": "919-479-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIRKS",
        "first_name": "REBECCA",
        "middle_name": "CRAVENS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2023-01287",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "331005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.