Active NPI
Dina Marie Rotoli, N.P.
- Vascular Surgery Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- F333779
- Practice address
- 1445 Portland Ave
Suite 108
Rochester, NY 14621-3036 - Phone
- (585) 922-5550
- Fax
- (585) 922-5950
- NPI assigned
- Aug 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | F333779 | NY | Primary |
| Family Nurse Practitioner | 363LF0000X | F333779 | NY |
Addresses
Primary practice location
1445 Portland Ave
Suite 108
Rochester, NY 14621-3036
Mailing address
1445 Portland Ave
Suite 108
Rochester, NY 14621-3036
Phone (585) 922-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02591335 | Medicaid | NY |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000
1500 Portland Ave
Rochester, NY 14621-3065
Phone (585) 697-6337
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F333779 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Medical Associates PC | Current | Accepting new patients | |
| Rochester General Hospital | Vascular Surgery | Current | Accepting new patients |
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Vascular Surgery | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients |
Locations
75 Sunset Dr
Newark, NY 14513
Phone (315) 331-4375
1445 Portland Ave
Ste 108
Rochester, NY 14621
Phone (585) 922-5550
1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
601 Elmwood Ave
#320
Rochester, NY 14642
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Interoperability endpoints
- drotoli33979@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.
-
- Specialist
- Rochester, NY
- NPI 1770003857
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
Vascular Surgery
-
- Multi-Specialty Clinic/Center
- Rochester, NY
- NPI 1861568594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1659380327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 PORTLAND AVE",
"address_2": "SUITE 108",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213036",
"telephone_number": "585-922-5550",
"fax_number": "585-922-5950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 PORTLAND AVE",
"address_2": "SUITE 108",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213036",
"telephone_number": "585-922-5550",
"fax_number": "585-922-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTOLI",
"first_name": "DINA",
"middle_name": "MARIE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "F333779",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F333779",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02591335",
"state": "NY"
}
],
"endpoints": [],
"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 Apr 3, 2008; 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.