Individual provider Active NPI

Andrew W Smith, M.D.

  • Plastic Surgery Physician
  • Rochester, NY
National Provider Identifier
1407018963
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
196397 Issued in NY
Practice address
360 Linden Oaks
Suite 310
Rochester, NY 14625-2814
Phone
(585) 922-5840
Fax
(585) 586-7558
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 196397 NY
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 196397 NY
Plastic Surgery Physician 208200000X 196397 NY Primary

Addresses

Primary practice location

360 Linden Oaks
Suite 310
Rochester, NY 14625-2814

Mailing address

360 Linden Oaks
Suite 310
Rochester, NY 14625-2814
Phone (585) 922-5840

Other identifiers 1

IdentifierTypeStateIssuer
01981084MedicaidNY

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
I20040407001349 NY Practitioner - Plastic and Reconstructive Surgery 0547253189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Rochester School of Medicine and Dentistry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Group of Rochester LLCGroup PAC ID 9335133636, 4 clinicians

Practice addresses (Care Compare)

360 Linden Oaks
Suite 310
Rochester, NY 14625-2814
Phone (585) 922-5840

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy86
Melanoma (skin cancer) excision40
Removal of tissue1-10
Removal or shaving of skin growth27
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196397NYMDPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Group of Rochester LLC Plastic Surgery CurrentSince Jan 1, 2009 Accepting new patients
Rochester General Hospital Plastic Surgery CurrentSince Jan 25, 2021 Accepting new patients
Rochester General Hospital CurrentSince Jan 25, 2021 Accepting new patients
TRW Aesthetic Associates, LLC Past Accepting new patients

Locations

10 Hagen Dr
Ste 310
Rochester, NY 14625
Phone (585) 249-1975

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

360 Linden Oaks
Ste 310
Rochester, NY 14625
Phone (585) 922-5840

1445 Portland Ave
Ste G-01
Rochester, NY 14621
Phone (585) 922-3890

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Organizations & group practices 4

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 1

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1407018963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 LINDEN OAKS",
            "address_2": "SUITE 310",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252814",
            "telephone_number": "585-922-5840",
            "fax_number": "585-586-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 LINDEN OAKS",
            "address_2": "SUITE 310",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252814",
            "telephone_number": "585-922-5840",
            "fax_number": "585-586-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "NY",
            "license": "196397",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "196397",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "196397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01981084",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.