NPIMap

Individual provider Active NPI

Dallas Lee Nelson, M.D.

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1598718314
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
223415 Issued in NY
Practice address
1000 South Ave
Box 58
Rochester, NY 14620-2733
Phone
(585) 341-0255
NPI assigned
May 19, 2006
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 223415 NY Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 223415 NY

Addresses

Primary practice location

1000 South Ave
Box 58
Rochester, NY 14620-2733

Mailing address

76 Benton St
Rochester, NY 14620-2323
Phone (585) 242-9399

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dnelson6200@direct.urmc.rochester.edu Direct
Direct Messaging Address dnelson6200@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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831001439 NY Practitioner - Geriatric MedicinePractitioner - Internal Medicine 3577538693 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Hospital of RochesterGroup PAC ID 5496641631, 403 clinicians
County of MonroeGroup PAC ID 3072420959, 18 clinicians

Practice addresses (Care Compare)

1 Johnsarbor Dr W
Rochester, NY 14620-3636
Phone (585) 473-8650

435 E Henrietta Rd
Rochester, NY 14620-4629
Phone (585) 760-6616

470 Collins St
Avon, NY 14414-1466
Phone (585) 226-2640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.84 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
81.1

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairport Baptist Homes CurrentSince Sep 13, 2009 Accepting new patients
County of Monroe Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
County of Monroe CurrentSince Jul 1, 2014 Accepting new patients
Rochester Friendly Home CurrentSince Jul 1, 2005 Accepting new patients
Highland Hospital of Rochester Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2007 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Community Hospital Medical Group Geriatric Medicine Past Accepting new patients

Locations

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

4646 Nine Mile Point Rd
Fairport, NY 14450
Phone (585) 377-0350

1000 South Ave
#58
Rochester, NY 14620
Phone (585) 341-6776

1870 Winton Rd S
Ste 100
Rochester, NY 14618
Phone (585) 276-0830

3 Upton Park
Rochester, NY 14607
Phone (585) 241-2100

435 E Henrietta Rd
Rochester, NY 14620
Phone (585) 760-5466

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

601 Elmwood Ave
#320
Rochester, NY 14642

Interoperability endpoints

  • Direct secure messaging: dnelson6200@direct.urmc.rochester.edu

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Bonadio GroupPenfield, NY, CCN 335407 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2020
Jan 1, 2020
Visiting Nurse Hospice & Palliative CareWebster, NY, CCN 337010 Home health agency Corporate Director Mar 22, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1598718314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BENTON ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202323",
            "telephone_number": "585-242-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SOUTH AVE",
            "address_2": "BOX 58",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202733",
            "telephone_number": "585-341-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DALLAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "223415",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "223415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dnelson6200@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": "dnelson6200@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.