Individual provider Active NPI

James J Iacobucci, MD

  • Internal Medicine Physician
  • Victor, NY
National Provider Identifier
1700818945
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
208826 Issued in NY
Practice address
7255 State Route 96 Ste 210
Victor, NY 14564-9009
Phone
(585) 505-6341
Fax
(833) 450-0134
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 208826 NY Primary

Addresses

Primary practice location

7255 State Route 96 Ste 210
Victor, NY 14564-9009

Mailing address

2400 Clinton Ave S BLDG F
Rochester, NY 14618-2668
Phone (585) 241-9910

Other identifiers 1

IdentifierTypeStateIssuer
01954952MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.iacobucci.1@30229.direct.athenahealth.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100422000103 NY Practitioner - Internal Medicine 7517094642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7255 State Route 96
Suite 210
Victor, NY 14564-9009
Phone (585) 505-6341

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Iacobucci Internal Medicine PLLC Internal Medicine CurrentSince Dec 28, 2023 Accepting new patients
University of Rochester CurrentSince Mar 1, 2015 Accepting new patients

Locations

995 Senator Keating Blvd
Ste 200
Rochester, NY 14618
Phone (585) 279-3600

601 Elmwood Ave
#320
Rochester, NY 14642

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

7255 State Route 96
Ste 210
Victor, NY 14564
Phone (585) 205-8330

Interoperability endpoints

  • Direct secure messaging: james.iacobucci.1@30229.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1700818945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CLINTON AVE S BLDG F",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182668",
            "telephone_number": "585-241-9910",
            "fax_number": "585-256-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 STATE ROUTE 96 STE 210",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649009",
            "telephone_number": "585-505-6341",
            "fax_number": "833-450-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOBUCCI",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "208826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01954952",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.iacobucci.1@30229.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "James J Iacobucci, MD",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7255 State Route 96 Ste 210",
            "city": "Victor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145649009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

Verify at the official NPI Registry.