Individual provider Active NPI

Andrew Tisser, DO

  • Emergency Medicine Physician
  • Rochester, NY
National Provider Identifier
1548680754
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
283315 Issued in NY
Practice address
1425 Portland Ave
Rochester, NY 14621-3001
Phone
(585) 922-2000
Fax
(585) 922-2951
NPI assigned
Apr 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.142889 IL
Emergency Medicine Physician 207P00000X 283315 NY Primary

Addresses

Primary practice location

1425 Portland Ave
Rochester, NY 14621-3001

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-1900

Other practice location 1

1101 Nott St
Dept. of Emergency
Schenectady, NY 12308-2425
Phone (518) 243-1916

Other practice location 2

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-9080

Other practice location 3

1200 Driving Park Ave
Newark, NY 14513-1090
Phone (315) 359-2120

Other practice location 4

17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone (708) 799-8000

Other practice location 5

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1911

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address atisser264322@direct.rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 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
I20161020000778 NY Practitioner - Emergency Medicine 0042598344 Reassigns benefits to 7 organizations
I20170504001675 IL Practitioner - Emergency Medicine 0042598344 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buffalo Emergency Associates LLPGroup PAC ID 4981502515, 54 clinicians

Practice addresses (Care Compare)

2950 Elmwood Ave
Kenmore, NY 14217-1304
Phone (716) 447-1304

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.142889ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Memorial Medical Center CurrentSince Sep 17, 2019 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince May 12, 2018 Accepting new patients
Rochester General Hospital CurrentSince Jun 1, 2019 Accepting new patients
Rochester General Hospital Current Accepting new patients
Community First Healthcare of Illinois, Inc. Emergency Medicine CurrentSince May 12, 2018 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corp. Emergency Medicine CurrentSince Jul 10, 2017 Accepting new patients
University Emergency Medical Services Inc. Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 10, 2017 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jun 16, 2025 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Chicago Central Emergency Physicians, LLP Emergency Medicine CurrentSince May 30, 2018 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Jun 1, 2019 Accepting new patients
Rochester General Hospital CurrentSince Jun 1, 2019 Accepting new patients
Newark Wayne Community Hospital Current Accepting new patients
Newark Wayne Community Hospital CurrentSince Jun 1, 2019 Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine CurrentSince Nov 1, 2017 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

5645 W Addison St
Ste 301
Chicago, IL 60634
Phone (773) 736-4553

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

29373 Network Pl
Chicago, IL 60673

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

127 North St
Batavia, NY 14020
Phone (585) 267-7510

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

Interoperability endpoints

  • Direct secure messaging: atisser264322@direct.rochesterregional.org

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1398556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1548680754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213001",
            "telephone_number": "585-922-2000",
            "fax_number": "585-922-2951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Nott St",
            "address_2": "Dept. of Emergency",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082425",
            "country_code": "US",
            "telephone_number": "518-243-1916",
            "fax_number": "518-243-1853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213001",
            "country_code": "US",
            "telephone_number": "585-922-9080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Driving Park Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131090",
            "country_code": "US",
            "telephone_number": "315-359-2120",
            "fax_number": "315-359-2806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17800 Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Hazel Crest",
            "state": "IL",
            "postal_code": "604292029",
            "country_code": "US",
            "telephone_number": "708-799-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1911",
            "fax_number": "315-462-2430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TISSER",
        "first_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-27",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.142889",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "283315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atisser264322@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "2 Coulter Rd",
            "city": "Clifton Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144321122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.