Individual provider Active NPI

Rachael Phelps, M.D.

  • Pediatrics Physician
  • Rochester, NY
National Provider Identifier
1427144534
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
217883 Issued in NY
Practice address
114 University Ave
Rochester, NY 14605-2929
Phone
(585) 546-2595
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 217883 NY Primary

Addresses

Primary practice location

114 University Ave
Rochester, NY 14605-2929

Mailing address

114 University Ave
Rochester, NY 14605-2929

Other identifiers 1

IdentifierTypeStateIssuer
02393644MedicaidNY

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
I20130812000107 NY Practitioner - Pediatric Medicine 3678715273 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217883NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Central and Western New York, Inc CurrentSince Jan 1, 2014 Accepting new patients
Planned Parenthood of the Southern Finger Lakes Inc. PastSince Mar 5, 2016 Accepting new patients
Planned Parenthood of the Rochester/Syracuse Region Past Accepting new patients
Planned Parenthood of Greater New York Inc PastSince Mar 30, 2021 Accepting new patients

Locations

222 W Main St
Batavia, NY 14020
Phone (585) 344-0516

60 E Amherst St
Buffalo, NY 14214
Phone (716) 831-2200

15 Lafayette Ave
Canandaigua, NY 14424
Phone (585) 344-0631

15 Webster St
North Tonawanda, NY 14120
Phone (716) 694-1225

114 University Ave
Rochester, NY 14605
Phone (585) 546-2771

2824 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-2440

1120 E Genesee St
Syracuse, NY 13210
Phone (315) 475-5540

240 Center Rd
West Seneca, NY 14224
Phone (716) 675-1012

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rachael.phelps.p4@direct.usppny.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1427144534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 UNIVERSITY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 UNIVERSITY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052929",
            "telephone_number": "585-546-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "RACHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "217883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02393644",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.