Individual provider Active NPI

Anja I Bottler, MD

  • Infectious Disease Physician
  • Rochester, NY
National Provider Identifier
1396712113
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
254013 Issued in NY
Practice address
55 Genesee St BK Building, 1St Floor
Rochester, NY 14611
Phone
(585) 368-3506
Fax
(585) 368-3163
NPI assigned
Mar 1, 2006
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 254013 NY Primary

Addresses

Primary practice location

55 Genesee St BK Building, 1St Floor
Rochester, NY 14611

Mailing address

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

Other practice location 1

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7719

Other practice location 2

6668 Fourth Section Rd
Brockport, NY 14420-2448
Phone (585) 368-3506

Other practice location 3

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4003

Other practice location 4

1561 Long Pond Rd Ste 220
Rochester, NY 14626-4135
Phone (585) 368-3506

Other identifiers 1

IdentifierTypeStateIssuer
02633594MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abottler184170@direct.rochestergeneral.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000141 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 6507823077 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

127 N St
Batavia, NY 14020-1631

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 429-2289

1561 Long Pond Rd
Suite 414
Rochester, NY 14626-4117
Phone (585) 723-7750

1565 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7366

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

229 Summit St
Batavia, NY 14020-1645

2655 Ridgeway Ave
Rochester, NY 14626-4296

55 Genesee St
Rochester, NY 14611-3201
Phone (585) 368-3506

65 Genesee St
Rochester, NY 14611-3201
Phone (585) 368-3531

75 Genesee St
FL 2
Rochester, NY 14611-3201
Phone (585) 368-3380

89 Genesee St
Rochester, NY 14611-3201
Phone (585) 723-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue126
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254013NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Wayne Community Hospital CurrentSince Nov 11, 2018 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Oct 8, 2019 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Nov 11, 2018 Accepting new patients
Rochester General Hospital CurrentSince Nov 11, 2018 Accepting new patients
Newark Wayne Community Hospital CurrentSince Nov 11, 2018 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Rochester General Hospital CurrentSince Nov 11, 2018 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 1, 2008 Accepting new patients
United Memorial Medical Center CurrentSince Oct 8, 2019 Accepting new patients
United Memorial Medical Center Current Accepting new patients
United Memorial Medical Center CurrentSince Oct 8, 2019 Accepting new patients
Star Physical Therapy & Fitness Center LLC Past Accepting new patients

Locations

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

127 North St
Batavia, NY 14020
Phone (585) 267-7510

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

6668 4th Section Rd
Brockport, NY 14420
Phone (585) 368-6870

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

100 Ohio St
Medina, NY 14103
Phone (585) 798-2865

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

3 Handley St
Perry, NY 14530
Phone (585) 237-3227

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

89 Genesee St
Bldg 3RD
Rochester, NY 14611
Phone (585) 315-3310

1561 Long Pond Rd
Ste 220
Rochester, NY 14626
Phone (585) 368-3506

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

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

55 Genesee St
Bldg 1ST
Rochester, NY 14611
Phone (585) 368-3506

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1396712113",
    "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",
            "fax_number": "585-922-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GENESEE ST BK BUILDING, 1ST FLOOR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14611",
            "telephone_number": "585-368-3506",
            "fax_number": "585-368-3163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264122",
            "country_code": "US",
            "telephone_number": "585-723-7719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6668 Fourth Section Rd",
            "address_purpose": "LOCATION",
            "city": "Brockport",
            "state": "NY",
            "postal_code": "144202448",
            "country_code": "US",
            "telephone_number": "585-368-3506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1561 Long Pond Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264135",
            "country_code": "US",
            "telephone_number": "585-368-3506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTTLER",
        "first_name": "ANJA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "254013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02633594",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abottler184170@direct.rochestergeneral.org",
            "affiliation": "N",
            "address_1": "55 Genesee St BK Building, 1st floor",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.