Individual provider Active NPI

Robert Little Jr., M.D.

  • Orthopaedic Surgery Physician
  • Rochester, NY
National Provider Identifier
1396705703
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
144014 Issued in NY
Practice address
2410 Ridgeway Ave
Rochester, NY 14626-4114
Phone
(585) 723-2845
Fax
(585) 723-6877
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 144014 NY Primary

Addresses

Primary practice location

2410 Ridgeway Ave
Rochester, NY 14626-4114

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-0553

Other practice location 1

360 Linden Oaks Ste 100
Rochester, NY 14625-2814
Phone (585) 723-2845

Other identifiers 2

IdentifierTypeStateIssuer
00619907MedicaidNY
P00070292OtherNYRR MEDICARE

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
I20050622000037 NY Practitioner - Orthopedic Surgery 6103861091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Rochester School of Medicine and Dentistry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

2420 Ridgeway Ave
Rochester, NY 14626-4114
Phone (585) 227-4000

360 Linden Oaks
Suite 300
Rochester, NY 14625-2814
Phone (585) 383-8830

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14401NYMDCase Manager/Care Coordinator
144014NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Orthopaedic Surgery CurrentSince Mar 1, 2019 Accepting new patients
Rochester General Hospital Orthopaedic Surgery CurrentSince Mar 1, 2019 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Mar 1, 2019 Accepting new patients
Portland Orthopaedic Associates LLC Orthopaedic Surgery PastSince Jan 1, 2002 Accepting new patients
Rochester General Hospital Past Accepting new patients
Newark Wayne Community Hospital Past Accepting new patients
The Unity Hospital of Rochester Past Accepting new patients

Locations

2410 Ridgeway Ave
Rochester, NY 14626
Phone (585) 225-7150

220 Alexander St
Ste 100
Rochester, NY 14607

1299 Portland Ave
Ste 16
Rochester, NY 14621
Phone (585) 266-3300

360 Linden Oaks
Ste 100
Rochester, NY 14625
Phone (585) 723-2845

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

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

222 Alexander St
Ste 1000
Rochester, NY 14607
Phone (585) 922-8230

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1396705703",
    "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",
            "telephone_number": "585-922-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264114",
            "telephone_number": "585-723-2845",
            "fax_number": "585-723-6877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Linden Oaks Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252814",
            "country_code": "US",
            "telephone_number": "585-723-2845",
            "fax_number": "585-723-6877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "144014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00619907",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00070292",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.