Individual provider Active NPI

Alexi Bulloch, MD

  • Internal Medicine Physician
  • Canandaigua, NY
National Provider Identifier
1538515291
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
306521 Issued in NY
Practice address
350 Parrish St
Canandaigua, NY 14424-1793
Phone
(585) 396-6000
NPI assigned
May 11, 2016
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 306521 NY Primary
Pediatrics Physician 208000000X 306521 NY

Addresses

Primary practice location

350 Parrish St
Canandaigua, NY 14424-1793

Mailing address

108 Garford Rd
Rochester, NY 14622-1801
Phone (512) 734-0931

Other practice location 1

913 Culver Rd
Rochester, NY 14609-7141
Phone (585) 654-5432

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address abulloch107093@direct.urmc.rochester.edu Direct
Direct Messaging Address abulloch107093@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200925000604 NY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6709171507 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Texas Medical Branch at Galveston, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult Complex Care CenterGroup PAC ID 6002107760, 10 clinicians

Practice addresses (Care Compare)

1000 S Ave
Rochester, NY 14620-2733
Phone (585) 276-7900

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

350 Parrish St
Canandaigua, NY 14424-1731
Phone (585) 396-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Complex Care Center CurrentSince Jul 1, 2024 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Sep 14, 2020 Accepting new patients
Highland Hospital of Rochester Internal Medicine CurrentSince Jan 7, 2025 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Sep 14, 2020 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2024 Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2024 Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

350 Parrish St
Canandaigua, NY 14424
Phone (585) 396-6000

73 Buffalo St
Ste 100
Canandaigua, NY 14424

1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366

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

905 Culver Rd
Rochester, NY 14609
Phone (585) 275-7892

913 Culver Rd
Rochester, NY 14609
Phone (585) 654-5432

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Interoperability endpoints

  • Direct secure messaging: abulloch107093@direct.urmc.rochester.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1538515291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GARFORD RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146221801",
            "telephone_number": "512-734-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARRISH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241793",
            "telephone_number": "585-396-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 Culver Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146097141",
            "country_code": "US",
            "telephone_number": "585-654-5432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLOCH",
        "first_name": "ALEXI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2023-07-03",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "306521",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "306521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abulloch107093@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": "abulloch107093@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 Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.