Individual provider Active NPI

Assanatu Iddrissu, CNM

  • Midwife
  • Rochester, NY
National Provider Identifier
1700166568
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
001856 Issued in NY
Practice address
1425 Portland Ave
Rochester, NY 14621-3001
Phone
(585) 922-4000
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 332332 OH
Midwife 176B00000X 001856 NY Primary

Addresses

Primary practice location

1425 Portland Ave
Rochester, NY 14621-3001

Mailing address

1100 Ring Neck Dr
Blacklick, OH 43004-7035
Phone (614) 316-2702

Other practice location 1

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 368-4020

Other practice location 2

165 Main St
Ossining, NY 10562-4702
Phone (914) 632-2737

Other practice location 3

1100 Ring Neck Dr
Blacklick, OH 43004-7035
Phone (614) 316-2702

Other practice location 4

2 Coulter Rd Ste 2660
Clifton Springs, NY 14432-1122
Phone (315) 462-1125

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180523000203 NY Practitioner - Certified Nurse Midwife (CNM) 6406111442 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
332332OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital CurrentSince May 21, 2018 Accepting new patients
Western New York Medical Practice P.C. CurrentSince May 21, 2018 Accepting new patients
Open Door Family Medical Center Inc CurrentSince Sep 11, 2023 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 28, 2019 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 28, 2019 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Oct 28, 2019 Accepting new patients
Open Door Family Medical Center Inc CurrentSince Sep 11, 2023 Accepting new patients
Rochester General Hospital CurrentSince May 21, 2018 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Clifton Springs Sanitarium Company Past Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients
Open Door Family Medical Center, Inc. Past Accepting new patients

Locations

2 Coulter Rd
Ste 2660
Clifton Springs, NY 14432
Phone (315) 210-6280

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

165 Main St
Ossining, NY 10562
Phone (914) 941-1263

2 Church St
Ossining, NY 10562
Phone (914) 502-1415

5 Grace Church St
Port Chester, NY 10573
Phone (914) 937-8899

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: aiddrissu4080390@nychhc.direct-ci.com
  • Direct secure messaging: aiddrissu56090@northwell.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EAJCAA

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1700166568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 RING NECK DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430047035",
            "telephone_number": "614-316-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213001",
            "telephone_number": "585-922-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264122",
            "country_code": "US",
            "telephone_number": "585-368-4020",
            "fax_number": "585-368-4019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Main St",
            "address_purpose": "LOCATION",
            "city": "Ossining",
            "state": "NY",
            "postal_code": "105624702",
            "country_code": "US",
            "telephone_number": "914-632-2737",
            "fax_number": "914-941-8626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Ring Neck Dr",
            "address_purpose": "LOCATION",
            "city": "Blacklick",
            "state": "OH",
            "postal_code": "430047035",
            "country_code": "US",
            "telephone_number": "614-316-2702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd Ste 2660",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1125",
            "fax_number": "315-462-1494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDDRISSU",
        "first_name": "ASSANATU",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "332332",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.