Rebecca Conklin, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

297660 Issued in NY

Practice address

1500 Portland Ave
Rochester, NY 14621-3065

Phone

(585) 697-6416

NPI assigned

Apr 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Philadelphia College of Osteopathic Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Care Medical Associates PCGroup PAC ID 3577820786, 4 clinicians

St Anns Home for the AgedGroup PAC ID 5092758938, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rochester Regional Health Hospice Care Hospice, Rochester, NY, CCN 331506
• Rochester General Hospital Hospital, Rochester, NY, CCN 330125
• St. Ann's Community Nursing home, Rochester, NY, CCN 335081

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• St. Ann'S Home for the Aged

  • Skilled Nursing Facility
  • Rochester, NY
  • NPI 1225067168
  Medicare reassignment Care Compare group NPD
• Wound Care Medical Associates PC

  • Specialist
  • Rochester, NY
  • NPI 1770003857
  Medicare reassignment Care Compare group NPD
• St Johns Health Care Corporation

  • Skilled Nursing Facility
  • Rochester, NY
  • NPI 1164425971
  Medicare reassignment NPD
• St. Ann'S Nursing Home Company, Inc

  • Skilled Nursing Facility
  • Webster, NY
  • NPI 1740216050
  Medicare reassignment NPD
• St Anns Home for the Aged

  • Long Term Care Pharmacy
  • Rochester, NY
  • NPI 1871698738
  NPD

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

• Genesee Region Home Care Association Inc.

  • Community Based Hospice Care Agency
  • Rochester, NY
  • NPI 1013921675
  Care Compare affiliation

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1437545936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213065",
            "telephone_number": "585-697-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213065",
            "telephone_number": "585-697-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "REBECCA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "297660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Suzanne Conheady, PT, DPT
• Conifer Park, Inc.
• Amanda Clark Coniglio, MD
• Andrew Coniglio, MD
• John Urban Coniglio, M.D.
• Benjamin Conley
• Rachel A Conley, MD
• Tyra Lashawn Conley
• Kevin James Conlon, RPH
• Kelsey L Conn, RD

• Internal Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.