NPIMap

Individual provider Active NPI

Dirk M Bernold, M.D.

  • Hematology & Oncology Physician
  • Rochester, NY
National Provider Identifier
1659346294
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
239535 Issued in NY
Practice address
211 White Spruce Blvd
Rochester, NY 14623-1618
Phone
(585) 475-8700
Fax
(585) 475-9411
NPI assigned
Feb 17, 2006
Sex
Male
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 239535 NY Primary

Addresses

Primary practice location

211 White Spruce Blvd
Rochester, NY 14623-1618

Mailing address

211 White Spruce Blvd
Rochester, NY 14623-1618
Phone (585) 475-8700

Other identifiers 3

IdentifierTypeStateIssuer
02769937MedicaidNY
869605500MedicaidMN
P00335437OtherNYRAIL ROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dbernold6896@direct.urmc.rochester.edu Direct
Direct Messaging Address dbernold6896@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
I20061024000197 NY Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 7214849538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine, Medical Oncology
Education
Albert Einstein College of Medicine of Yeshiva University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

155 Bellwood Dr
Suite 1
Rochester, NY 14606-4226
Phone (585) 453-2700

156 W Ave
FL 3
Brockport, NY 14420-1229
Phone (585) 486-0930

601 Elmwood Ave
Rochester, NY 14642-0001

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

738 Library Rd
Rochester, NY 14642-0001
Phone (585) 275-2638

Hospital & facility affiliations

  • Ur Medicine Home Care, Certified Services, Inc Home health agency, Webster, NY, CCN 337010
  • Ur Medicine Hospice Hospice, Webster, NY, CCN 331550
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074
  • Geneva General Hospital Hospital, Geneva, NY, CCN 330058
  • Clifton Springs Hospital and Clinic Hospital, Clifton Springs, NY, CCN 330265
  • Soldiers and Sailors Memorial Hospital of Yates Hospital, Penn Yan, NY, CCN 331314

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester Current Accepting new patients
Hematology Clinical Group CurrentSince Jul 1, 2014 Accepting new patients
University of Rochester CurrentSince Dec 28, 2013 Accepting new patients
University of Rochester CurrentSince Dec 28, 2013 Accepting new patients
University of Rochester Hematology & Oncology Past Accepting new patients
Podiatry Associates of Rochester, LLP Past Accepting new patients

Locations

395 West St
Ste 103
Canandaigua, NY 14424

511 W Washington St
Geneva, NY 14456
Phone (315) 781-2250

601 Elmwood Ave
#610
Rochester, NY 14642
Phone (585) 275-2881

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

155 Bellwood Dr
#1
Rochester, NY 14606
Phone (585) 273-1154

Interoperability endpoints

  • Direct secure messaging: dbernold6896@direct.urmc.rochester.edu

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

Hospital & facility affiliations 10

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1659346294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231618",
            "telephone_number": "585-475-8700",
            "fax_number": "585-475-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231618",
            "telephone_number": "585-475-8700",
            "fax_number": "585-475-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNOLD",
        "first_name": "DIRK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "239535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02769937",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "869605500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00335437",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbernold6896@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": "dbernold6896@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.