NPIMap

Individual provider Active NPI

Daniel Kamil Jedrysiak, M.D

  • Anesthesiology Physician
  • Rochester, NY
National Provider Identifier
1730530890
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
307994 Issued in NY
Practice address
1425 Portland Ave
Rochester, NY 14621-3011
Phone
(585) 922-4159
NPI assigned
Jun 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 307994 NY Primary

Addresses

Primary practice location

1425 Portland Ave
Rochester, NY 14621-3011

Mailing address

130 Allens Creek Rd
Rochester, NY 14618-3305

Other practice location 1

1555 Long Pond Rd
Rochester, NY 14626-4164
Phone (585) 723-7000

Other practice location 2

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1417

Other practice location 3

1200 Driving Park Ave
Newark, NY 14513-1090
Phone (315) 332-2170

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address djedrysiak324658@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721002780 NY Practitioner - Anesthesiology 3476825092 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newark Wayne Community HospitalGroup PAC ID 0446154199, 129 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians

Practice addresses (Care Compare)

1200 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2266

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7205

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1472

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307994NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Memorial Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2025 Accepting new patients
United Memorial Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Jan 1, 2025 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2025 Accepting new patients
Rochester General Hospital Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 1, 2025 Accepting new patients
Anesthesia Associates of Rochester, P.C. Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients

Locations

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

127 North St
Batavia, NY 14020
Phone (585) 267-7510

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

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

111 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2022

130 Allens Creek Rd
Ste 200
Rochester, NY 14618
Phone (585) 410-6545

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

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

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

130 Allens Creek Rd
Rochester, NY 14618
Phone (585) 410-6545

Interoperability endpoints

  • Direct secure messaging: djedrysiak324658@direct.rochesterregional.org

Organizations & group practices 11

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 10

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1730530890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ALLENS CREEK RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213011",
            "telephone_number": "585-922-4159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264164",
            "country_code": "US",
            "telephone_number": "585-723-7000",
            "fax_number": "585-366-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1417",
            "fax_number": "315-462-6058",
            "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": "315-332-2170",
            "fax_number": "315-359-2488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEDRYSIAK",
        "first_name": "DANIEL",
        "middle_name": "KAMIL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "307994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djedrysiak324658@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1425 Portland Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.