Organization Active NPI

Westside Podiatry Group LLC

  • Foot Surgery Podiatrist
  • Rochester, NY
National Provider Identifier
1487198511
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
WESTSIDE PODIATRY GROUP LLC
Practice address
919 Westfall Rd
Bluiding C Suite 130
Rochester, NY 14618-2638
Phone
(585) 506-9790
Fax
(585) 697-0116
NPI assigned
Dec 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Dr. Daniel Eric Tellem, DPM
Title
Partner
Phone
(585) 225-9452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X NY Primary

Addresses

Primary practice location

919 Westfall Rd
Bluiding C Suite 130
Rochester, NY 14618-2638

Mailing address

919 Westfall Rd
Bluiding C Suite 130
Rochester, NY 14618-2638
Phone (585) 506-9790

Other identifiers 1

IdentifierTypeStateIssuer
04203316MedicaidNY

Other names 1

  • Westside Podiatry Group Doing business as

National Provider Directory

National Provider Directory

Locations

919 Westfall Rd
Ste 130
Rochester, NY 14618
Phone (585) 206-9740

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1487198511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 WESTFALL RD",
            "address_2": "BLUIDING C SUITE 130",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182638",
            "telephone_number": "585-506-9790",
            "fax_number": "585-697-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 WESTFALL RD",
            "address_2": "BLUIDING C SUITE 130",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182638",
            "telephone_number": "585-506-9790",
            "fax_number": "585-697-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PODIATRY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "TELLEM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "585-225-9452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04203316",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westside Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.