Individual provider Active NPI

David J Pelkowski, MD

  • Cardiovascular Disease Physician
  • Rochester, NY
National Provider Identifier
1508826819
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
175364 Issued in NY
Practice address
601 Elmwood Ave
Rochester, NY 14642
Phone
(585) 275-2475
Fax
(585) 473-0477
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 175364 NY Primary

Addresses

Primary practice location

601 Elmwood Ave
Rochester, NY 14642

Mailing address

601 Elmwood Ave Box 679-B
Rochester, NY 14642-0001
Phone (585) 275-1707

Other identifiers 1

IdentifierTypeStateIssuer
01086442MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dpelkowski116348@direct.urmc.rochester.edu Direct
Direct Messaging Address dpelkowski116348@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040121000614 PA Practitioner - Cardiovascular Disease (Cardiology) 6406758481 Reassigns benefits to 1 organization
I20170601001265 NY Practitioner - Cardiovascular Disease (Cardiology) 6406758481 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Hahnemann University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinical GroupGroup PAC ID 3577458199, 148 clinicians

Practice addresses (Care Compare)

111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-8661

191 N Main St
Wellsville, NY 14895-1150
Phone (585) 596-0134

48 E S St
Geneseo, NY 14454-1390
Phone (585) 602-1700

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2475

601 Elmwood Ave Box
Rochester, NY 14642-0001

Hospital & facility affiliations

  • Jones Memorial Hospital Hospital, Wellsville, NY, CCN 330096
  • Nicholas H Noyes Memorial Hospital Hospital, Dansville, NY, CCN 330238
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
69.24
Promoting interoperability
98
Improvement activities
40
Cost
80.41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Cardiovascular Disease CurrentSince Jul 18, 1988 Accepting new patients
Guthrie Medical Group, P.C. Cardiovascular Disease CurrentSince Jul 18, 1988 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Jun 14, 2022 Accepting new patients
Cardiology Clinical Group Cardiovascular Disease CurrentSince Jul 1, 2017 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Nicholas H. Noyes Memorial Hospital CurrentSince Mar 24, 2022 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Jun 14, 2022 Accepting new patients
Guthrie Medical Group, P.C. Past Accepting new patients

Locations

73 Buffalo St
Ste 100
Canandaigua, NY 14424

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

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

601 Elmwood Ave
#679B
Rochester, NY 14642
Phone (585) 273-3760

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

91 Hospital Dr
Towanda, PA 18848
Phone (570) 268-2240

5950 Sr 6
Ste 101
Tunkhannock, PA 18657
Phone (570) 836-4294

110 Plaza Ln
Wellsboro, PA 16901
Phone (570) 724-4241

Interoperability endpoints

  • Direct secure messaging: dpelkowski116348@direct.urmc.rochester.edu

Organizations & group practices 8

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 4

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1508826819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 679-B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-1707",
            "fax_number": "585-596-0135"
        },
        {
            "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": "585-275-2475",
            "fax_number": "585-473-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELKOWSKI",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "175364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01086442",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpelkowski116348@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": "dpelkowski116348@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.