Active NPI
Jeannine L. Dolan, M.D.
- Family Medicine Physician
- Penfield, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 205850
- Practice address
- 2200 Penfield Rd
Penfield, NY 14526-1711 - Phone
- (585) 922-0460
- NPI assigned
- Oct 5, 2006
- Last updated
- May 14, 2025
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 205850 | NY | Primary |
Addresses
Primary practice location
2200 Penfield Rd
Penfield, NY 14526-1711
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Other practice location 1
5973 Walworth Rd
Ontario, NY 14519-9592
Phone (315) 524-2881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080164433 | Other | NY | RAILROAD MEDICARE PTAN (PIN) |
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
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 Penfield Rd
Penfield, NY 14526-1711
Phone (585) 922-0060
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205850 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Family Medicine | Current | Accepting new patients |
Locations
2200 Penfield Rd
Penfield, NY 14526
Phone (585) 377-6170
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
Interoperability endpoints
- asorensen420099@direct.rochesterregional.org
- jeannine.dolan@nealsmithmd.chartmakerdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Clifton Springs Hospital and Clinic
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
-
dba Rochester Regional Health Home Care
- Home Health Agency
- Rochester, NY
- NPI 1801819271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1689761454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGS HWY S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146175504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 PENFIELD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261711",
"telephone_number": "585-922-0460"
}
],
"practiceLocations": [
{
"address_1": "5973 Walworth Rd",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "NY",
"postal_code": "145199592",
"country_code": "US",
"telephone_number": "315-524-2881",
"fax_number": "315-524-2231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOLAN",
"first_name": "JEANNINE",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "205850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN (PIN)",
"identifier": "080164433",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.