NPIMap

Individual provider Active NPI

Celso E Dias, M.D.

  • Vascular Surgery Physician
  • Rochester, NY
National Provider Identifier
1396994109
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
271949 Issued in NY
Practice address
30 Hagen Dr Suite 120
Rochester, NY 14625
Phone
(585) 922-5300
Fax
(585) 922-0450
NPI assigned
Sep 17, 2008
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD18370 ME
Vascular Surgery Physician 2086S0129X MD18370 ME
Vascular Surgery Physician 2086S0129X 260511 MA
Vascular Surgery Physician 2086S0129X 271949 NY Primary

Addresses

Primary practice location

30 Hagen Dr Suite 120
Rochester, NY 14625

Mailing address

30 Hagen Dr Suite 120
Rochester, NY 14625
Phone (585) 922-5300

Other practice location 1

300 Stafford St
Suite 256
Springfield, MA 01104-4110
Phone (413) 748-9378

Other identifiers 1

IdentifierTypeStateIssuer
1396994109MedicaidME

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address celso.dias@rochesterregional.org
Direct Messaging Address celso.dias@rochesterregional.org

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
I20191105000393 NY Practitioner - Vascular Surgery 9133244361 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

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

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

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

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
Varicose vein removal99
Leg revascularization (restoring blood flow)114
Removal of tissue16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18370MEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. Surgery CurrentSince Nov 11, 2019 Accepting new patients
Rochester General Hospital Surgery CurrentSince Nov 11, 2019 Accepting new patients
Rochester General Hospital Vascular Surgery Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Nov 11, 2019 Accepting new patients
United Memorial Medical Center Surgery CurrentSince Nov 1, 2019 Accepting new patients
The Unity Hospital of Rochester CurrentSince Nov 11, 2019 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Rochester General Hospital Surgery CurrentSince Nov 11, 2019 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Mercy Inpatient Medical Associates Inc. Surgery Past Accepting new patients

Locations

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

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

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

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

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

30 Hagen Dr
Ste 120
Rochester, NY 14625
Phone (585) 922-4325

Interoperability endpoints

  • Direct secure messaging: cdias279571@direct.rochesterregional.org

Organizations & group practices 10

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1396994109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HAGEN DR SUITE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14625",
            "telephone_number": "585-922-5300",
            "fax_number": "585-922-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HAGEN DR SUITE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14625",
            "telephone_number": "585-922-5300",
            "fax_number": "585-922-0450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Stafford St",
            "address_2": "Suite 256",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011044110",
            "country_code": "US",
            "telephone_number": "413-748-9378",
            "fax_number": "413-748-9387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAS",
        "first_name": "CELSO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD18370",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "ME",
            "license": "MD18370",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "260511",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "271949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396994109",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "celso.dias@rochesterregional.org",
            "affiliation": "N",
            "address_1": "30 Hagen Dr Suite 120",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "celso.dias@rochesterregional.org",
            "affiliation": "N",
            "address_1": "30 Hagen Dr Suite 120",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.