Individual provider Active NPI

Lori Elizabeth Medeiros, MD

  • Surgery Physician
  • Rochester, NY
National Provider Identifier
1720017353
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
243139-1 Issued in NY
Practice address
125 Red Creek Dr Ste 211
Rochester, NY 14623-4262
Phone
(585) 487-1700
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 243139-1 NY Primary

Addresses

Primary practice location

125 Red Creek Dr Ste 211
Rochester, NY 14623-4262

Mailing address

601 Elmwood Ave Box Surg
Rochester, NY 14642-8410
Phone (585) 487-1700

Other practice location 1

20 Hagen Dr Ste 100
Rochester, NY 14625-2665
Phone (585) 922-4715

Other practice location 2

1561 Long Pond Rd Ste 110
Rochester, NY 14626-4136
Phone (585) 922-4715

Other practice location 3

1200 Driving Park Ave
Newark, NY 14513-1090
Phone (315) 359-2670

Other practice location 4

1415 Portland Ave
Department of Surgery MOB #245
Rochester, NY 14621-3038
Phone (585) 922-4715

Other identifiers 1

IdentifierTypeStateIssuer
03033158MedicaidNY

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
I20081216000182 NY Practitioner - General Surgery 8022028992 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breast Cancer Surgery of the University of RochesterGroup PAC ID 0446313621, 16 clinicians

Practice addresses (Care Compare)

125 Red Creek Dr
Suite 211
Rochester, NY 14623-4262
Phone (585) 487-1700

Hospital & facility affiliations

  • Highland Hospital Hospital, Rochester, NY, CCN 330164
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy122
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243139-1NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Surgery CurrentSince Nov 5, 2011 Accepting new patients
Western New York Medical Practice P.C. Surgery CurrentSince Jan 6, 2019 Accepting new patients
University of Rochester CurrentSince Feb 9, 2025 Accepting new patients
University of Rochester CurrentSince Feb 9, 2025 Accepting new patients
Rochester General Hospital CurrentSince Nov 5, 2011 Accepting new patients
Breast Cancer Surgery of the University of Rochester CurrentSince Jan 1, 2025 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Hematology Clinical Group Current Accepting new patients
General and Laproscopic Surgical Surgery Past Accepting new patients
Rochester General Hospital Past Accepting new patients
Griffin Faculty Physicians, Inc. Surgery Past Accepting new patients

Locations

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

125 Red Creek Dr
Ste 211
Rochester, NY 14623
Phone (585) 486-0600

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

125 Red Creek Dr
Rochester, NY 14623
Phone (585) 486-0600

1415 Portland Ave
Ste 245
Rochester, NY 14621
Phone (585) 922-4715

20 Hagen Dr
Ste 100
Rochester, NY 14625
Phone (585) 922-4020

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

1561 Long Pond Rd
Ste 110
Rochester, NY 14626
Phone (585) 723-1510

20 Hagen Dr
Ste 320
Rochester, NY 14625
Phone (585) 922-4712

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

875 Hard Rd
Webster, NY 14580
Phone (585) 273-4713

Interoperability endpoints

  • Direct secure messaging: lmedeiros568330@direct.urmc.rochester.edu

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

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1720017353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX SURG",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146428410",
            "telephone_number": "585-487-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RED CREEK DR STE 211",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234262",
            "telephone_number": "585-487-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Hagen Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252665",
            "country_code": "US",
            "telephone_number": "585-922-4715",
            "fax_number": "585-922-3950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1561 Long Pond Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264136",
            "country_code": "US",
            "telephone_number": "585-922-4715",
            "fax_number": "585-922-3950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Driving Park Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131090",
            "country_code": "US",
            "telephone_number": "315-359-2670",
            "fax_number": "315-359-2675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Portland Ave",
            "address_2": "Department of Surgery MOB #245",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213038",
            "country_code": "US",
            "telephone_number": "585-922-4715",
            "fax_number": "585-922-3950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "LORI",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "243139-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03033158",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.