Active NPI
Perrune-Elisabeth Longange-Eketshi, M.D.
- Family Medicine Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 337776
- Practice address
- 1425 Portland Ave BLDG 1
Rochester, NY 14621-3011 - Phone
- (585) 338-1400
- Fax
- (585) 338-4940
- NPI assigned
- Apr 19, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125080790 | IL | |
| Family Medicine Physician | 207Q00000X | 337776 | NY | Primary |
Addresses
Primary practice location
1425 Portland Ave BLDG 1
Rochester, NY 14621-3011
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250814003601 | NY | Practitioner - Family Practice | 8921507229 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rochester General Hospital
Practice addresses (Care Compare)
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000
Hospital & facility affiliations
- Rochester Regional Health Home Care
- Rochester General Hospital
- Strong Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125080790 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Family Medicine | Current | Accepting new patients |
| Rochester General Hospital | Family Medicine | Current | Accepting new patients |
| Rochester General Hospital | Past | Accepting new patients |
Locations
1425 Portland Ave
Bldg 1
Rochester, NY 14621
Phone (585) 338-1400
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
Interoperability endpoints
- plongange431144@direct.rochesterregional.org
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.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
Family Medicine, NY
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rochester, NY
- NPI 1063454619
-
- Psychiatric Hospital Unit
- Rochester, NY
- NPI 1174620629
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1255847489
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1871070409
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1700529583",
"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": "1425 PORTLAND AVE BLDG 1",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213011",
"telephone_number": "585-338-1400",
"fax_number": "585-338-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGANGE-EKETSHI",
"first_name": "PERRUNE-ELISABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125080790",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "337776",
"primary": true
}
],
"identifiers": [],
"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 Jul 11, 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.