Individual provider Active NPI

Jason M Donovan, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1427142116
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009398 Issued in NY
Practice address
601 Elmwood Ave
Rochester, NY 14642
Phone
(585) 275-2838
Fax
(585) 273-1068
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9398 NY
Physician Assistant 363A00000X 009398 NY Primary

Addresses

Primary practice location

601 Elmwood Ave
Rochester, NY 14642

Mailing address

601 Elmwood Ave Box 656
Rochester, NY 14642-0001
Phone (585) 275-2838

Other identifiers 2

IdentifierTypeStateIssuer
118048FZOtherNYPREFERRED CARE
PO19009398OtherNYBLUE CHOICE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jdonovan6313@direct.urmc.rochester.edu Direct
Direct Messaging Address jdonovan6313@direct.urmc.rochester.edu Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000278 NY Practitioner - Physician Assistant 1153223797 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Urology AssociatesGroup PAC ID 4880642537, 63 clinicians

Practice addresses (Care Compare)

10 S Pointe LNDG
Suite 130
Rochester, NY 14606-3481
Phone (585) 227-2550

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-4507

601 Elmwood Ave Box
Suite 278911
Rochester, NY 14642-0001

7995 Call Pkwy
Suite 100
Batavia, NY 14020-4114
Phone (585) 275-2838

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073
  • Wyoming County Hospital, Warsaw, NY, CCN 331323
  • Medina Memorial Hospital Hospital, Medina, NY, CCN 331319

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
58.11
Promoting interoperability
100
Improvement activities
40
Cost
78.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009398NYMDSpecial Hospital
9398NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cuba Memorial Hospital, Inc. CurrentSince May 23, 2013 Accepting new patients
Rochester General Hospital CurrentSince Oct 24, 2007 Accepting new patients
Rochester General Hospital CurrentSince Oct 24, 2007 Accepting new patients

Locations

36 Ellicott St
#2
Batavia, NY 14020
Phone (585) 298-0722

140 W Main St
Cuba, NY 14727
Phone (585) 968-2000

1202 Driving Park Ave
Ste 5
Newark, NY 14513
Phone (315) 359-2661

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

601 Elmwood Ave
#656
Rochester, NY 14642
Phone (585) 273-1904

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

Interoperability endpoints

  • Direct secure messaging: jdonovan6313@direct.urmc.rochester.edu

Organizations & group practices 5

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 7

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1427142116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 656",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2838",
            "fax_number": "585-273-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14642",
            "telephone_number": "585-275-2838",
            "fax_number": "585-273-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "9398",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "118048FZ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "PO19009398",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdonovan6313@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdonovan6313@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.