Active NPI
Edith L Dale, M.D.
- Internal Medicine Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 182523-1
- Practice address
- 1815 S Clinton Ave Ste 620
Rochester, NY 14618-5723 - Phone
- (585) 319-5354
- Fax
- (833) 450-5339
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 182523-1 | NY | Primary |
Addresses
Primary practice location
1815 S Clinton Ave Ste 620
Rochester, NY 14618-5723
Mailing address
1815 S Clinton Ave Ste 620
Rochester, NY 14618-5723
Phone (585) 319-5354
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5433322 | Other | NY | AETNA |
| 101339BJ | Other | NY | PREFERRED CARE |
| 01404264 | Medicaid | NY | |
| P010182523 | Other | NY | BLUE CHOICE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | edale52133@direct.rochesterregional.org | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Rochester School of Medicine and Dentistry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1815 S Clinton Ave
Suite 620
Rochester, NY 14618-5723
Phone (585) 319-5354
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182523-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Internal Medicine | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Internal Medicine | Current | Accepting new patients |
| Rochester General Hospital | Internal Medicine | Current | Accepting new patients |
Locations
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
30 Hagen Dr
Ste 300
Rochester, NY 14625
Phone (585) 381-1440
220 Linden Oaks
Ste 300
Rochester, NY 14625
Phone (585) 383-4420
1815 S Clinton Ave
Ste 620
Rochester, NY 14618
Phone (585) 319-5354
Interoperability endpoints
- edale52133@direct.rochesterregional.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1346095254
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
Internal Medicine
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
Internal Medicine
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
dba Wayne Medical Group
- Internal Medicine Physician
- Sodus, NY
- NPI 1821163718
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Strong Memorial Hospital
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1609876838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 S CLINTON AVE STE 620",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185723",
"telephone_number": "585-319-5354",
"fax_number": "833-450-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 S CLINTON AVE STE 620",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185723",
"telephone_number": "585-319-5354",
"fax_number": "833-450-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALE",
"first_name": "EDITH",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "182523-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5433322",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "101339BJ",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01404264",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010182523",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "edale52133@direct.rochesterregional.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1815 S Clinton Ave Ste 620",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146185723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.