Karina Vattana, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

308656-01 Issued in NY

Practice address

170 Science Pkwy
Rochester, NY 14620-4251

Phone

(585) 545-7200

Fax

(585) 256-2775

NPI assigned

Apr 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kvattana@pedsurgentcare.medentdirect.com
• Direct secure messaging: kvattana138023@direct.urmc.rochester.edu

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.

• Trillium Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1861496358
  Medicare reassignment NPD
• Trillium Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1265098941
  NPD
• Trillium Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1285290593
  NPD

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1629565916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 SCIENCE PKWY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204251",
            "telephone_number": "585-545-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SCIENCE PKWY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204251",
            "telephone_number": "585-545-7200",
            "fax_number": "585-256-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATTANA",
        "first_name": "KARINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "308656-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravi Vasudeva, BSCH, DDS
• Anna Vasylyk
• George E Vates, MD
• Kyle Vath
• Anna E Vattana, RN
• Catherine J Vaughan, CRNA
• Maurice J. Vaughan, M.D.
• Brianna Vaughn
• Megan B Vaules, MD
• Valerie Vaval, FNP-BC

• Pediatrics Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.