Individual provider Active NPI

Charles D Nicolais, M.D.

  • Interventional Cardiology Physician
  • Rochester, NY
National Provider Identifier
1649533746
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
308533-01 Issued in NY
Practice address
601 Elmwood Ave
Rochester, NY 14642-0001
Phone
(585) 275-2877
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 308533-01 NY
Interventional Cardiology Physician 207RI0011X 308533-01 NY Primary
Internal Medicine Physician 207R00000X 308533-01 NY
Internal Medicine Physician 207R00000X MD454351 PA

Addresses

Primary practice location

601 Elmwood Ave
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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
I20150605001055 PA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4880915529 Reassigns benefits to 1 organization
I20210622001091 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4880915529 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
George Washington University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinical GroupGroup PAC ID 3577458199, 148 clinicians

Practice addresses (Care Compare)

2400 Clinton Ave S
Suite G
Rochester, NY 14618-2668
Phone (585) 341-7700

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074
  • Highland Hospital Hospital, Rochester, NY, CCN 330164
  • Soldiers and Sailors Memorial Hospital of Yates Hospital, Penn Yan, NY, CCN 331314

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting57
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308533-01NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital Health Center CurrentSince Jul 1, 2021 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
St Josephs Medical PC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jun 1, 2020 Accepting new patients
North Medical PC Internal Medicine Current Accepting new patients
Cardiology Clinical Group Cardiovascular Disease CurrentSince Oct 1, 2024 Accepting new patients
St Joseph'S Hospital Health Center Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
University of Pittsburgh Physicians Cardiovascular Disease CurrentSince Jun 1, 2020 Accepting new patients

Locations

4939 Brittonfield Pkwy
Ste 202
East Syracuse, NY 13057
Phone (315) 452-2555

4000 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 637-2665

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

601 Elmwood Ave
#679B
Rochester, NY 14642
Phone (585) 273-3760

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

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

200 Lothrop St
#S553
Pittsburgh, PA 15213
Phone (412) 647-3429

200 Lothrop St
#58
Pittsburgh, PA 15213
Phone (412) 647-6000

3600 Forbes Ave
Ste 140
Pittsburgh, PA 15213

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: cnicolais498045@direct.urmc.rochester.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1649533746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAIS",
        "first_name": "CHARLES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "308533-01",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "308533-01",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "308533-01",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD454351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.