Individual provider Active NPI

Charles T Cavallaro, DO

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1710059324
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
180124 Issued in NY
Practice address
3300 Monroe Ave Ste 325
Rochester, NY 14618-4623
Phone
(585) 727-3333
Fax
(585) 456-1944
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 180124 NY Primary

Addresses

Primary practice location

3300 Monroe Ave Ste 325
Rochester, NY 14618-4623

Mailing address

41 Monroe Pkwy
Rochester, NY 14618-3007
Phone (585) 727-3333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Charles.cavallaro@rochesterregional.org

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
I20040410000123 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 1759375058 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Internal Medicine CurrentSince Dec 1, 2002 Accepting new patients
United Memorial Medical Center Internal Medicine CurrentSince Jul 6, 2021 Accepting new patients
Rochester General Hospital CurrentSince Dec 1, 2002 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Jul 6, 2021 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jul 6, 2021 Accepting new patients
Rochester General Hospital Internal Medicine Current Accepting new patients
Newark Wayne Community Hospital Current Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
United Memorial Medical Center CurrentSince Jul 6, 2021 Accepting new patients
Newark Wayne Community Hospital CurrentSince May 6, 2013 Accepting new patients

Locations

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

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

196 North St
Geneva, NY 14456
Phone (315) 787-4156

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

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

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

Interoperability endpoints

  • Direct secure messaging: charles.cavallaro@rochesterregional.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1710059324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MONROE PKWY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183007",
            "telephone_number": "585-727-3333",
            "fax_number": "585-456-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MONROE AVE STE 325",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184623",
            "telephone_number": "585-727-3333",
            "fax_number": "585-456-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLARO",
        "first_name": "CHARLES",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "180124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Charles.cavallaro@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1425 Portland Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.