Individual provider Active NPI

Sophia Daniel

  • Medical Physician Assistant
  • Hilton, NY
National Provider Identifier
1710618285
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
030760 Issued in NY
Practice address
279 East Ave
Hilton, NY 14468-1333
Phone
(585) 392-9100
Fax
(585) 392-6292
NPI assigned
Jun 23, 2022
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 030760 NY Primary

Addresses

Primary practice location

279 East Ave
Hilton, NY 14468-1333

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

1419 Salt Springs Rd
Syracuse, NY 13214-1302
Phone (315) 445-4100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdaniel380860@direct.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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128000380 NY Practitioner - Physician Assistant 4880042183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
030760NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Nov 13, 2023 Accepting new patients
Western New York Medical Practice P.C CurrentSince Nov 13, 2023 Accepting new patients
Hilton Health Care PC CurrentSince Feb 11, 2024 Accepting new patients
The Unity Hospital of Rochester CurrentSince Nov 17, 2023 Accepting new patients

Locations

279 East Ave
Hilton, NY 14468
Phone (585) 392-9100

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

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

Interoperability endpoints

  • Direct secure messaging: sdaniel380860@direct.rochesterregional.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1710618285",
    "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": "279 EAST AVE",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144681333",
            "telephone_number": "585-392-9100",
            "fax_number": "585-392-6292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 Salt Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132141302",
            "country_code": "US",
            "telephone_number": "315-445-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "030760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdaniel380860@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "279 East Ave",
            "city": "Hilton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144681333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hilton, NY

Sources for this page

Verify at the official NPI Registry.