Individual provider Active NPI

Andrew Steven Pederzolli, M.D.

  • Cardiovascular Disease Physician
  • Rochester, NY
National Provider Identifier
1396908786
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
278959 Issued in NY
Practice address
1415 Portland Ave
Sands Constellation Heart Institute
Rochester, NY 14621-3038
Phone
(585) 442-5320
Fax
(585) 442-5526
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 278959 NY Primary

Addresses

Primary practice location

1415 Portland Ave
Sands Constellation Heart Institute
Rochester, NY 14621-3038

Mailing address

1415 Portland Ave
Sands Constellation Heart Institute
Rochester, NY 14621-3038
Phone (585) 442-5320

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.pederzolli@rochesterregional.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
I20150702000513 NY Practitioner - Cardiovascular Disease (Cardiology) 3870766322 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Ohio State University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

101 Canal Landing Blvd
Rochester, NY 14626-5109
Phone (585) 239-7300

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

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

2365 Clinton S Ave
Suite 100
Rochester, NY 14618-2663
Phone (585) 389-6045

30 Hagen Dr
Suite 300
Rochester, NY 14625-2658
Phone (585) 338-2700

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Newark-Wayne Community Hospital Hospital, Newark, NY, CCN 330030
  • Unity Hospital Hospital, Rochester, NY, CCN 330226

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278959NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Aug 1, 2015 Accepting new patients
Rochester General Hospital Current Accepting new patients
United Memorial Medical Center Current Accepting new patients
Western New York Medical Practice P.C. CurrentSince Aug 1, 2015 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Oct 23, 2020 Accepting new patients
United Memorial Medical Center Cardiovascular Disease CurrentSince Sep 11, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

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

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

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

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

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

101 Canal Landing Blvd
Rochester, NY 14626
Phone (585) 239-7300

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

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

30 Hagen Dr
Ste 100
Rochester, NY 14625
Phone (585) 242-9450

2365 S Clinton Ave
Ste 100
Rochester, NY 14618
Phone (585) 389-6045

1415 Portland Ave
Ste 350
Rochester, NY 14621

Interoperability endpoints

  • Direct secure messaging: apederzolli169601@direct.rochesterregional.org

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1396908786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE",
            "address_2": "SANDS CONSTELLATION HEART INSTITUTE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213038",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE",
            "address_2": "SANDS CONSTELLATION HEART INSTITUTE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213038",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERZOLLI",
        "first_name": "ANDREW",
        "middle_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "278959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.pederzolli@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1415 Portland Ave",
            "address_2": "Sands Constellation Heart Institute",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.