Individual provider Active NPI

Thairo Alves Pereira, MD

  • Urology Physician
  • Rochester, NY
National Provider Identifier
1740065580
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
340044 Issued in NY
Practice address
158 Sawgrass Dr FL 2
Rochester, NY 14620-4648
Phone
(585) 275-2838
NPI assigned
Aug 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 11023279A IN
Urology Physician 208800000X 340044 NY Primary

Addresses

Primary practice location

158 Sawgrass Dr FL 2
Rochester, NY 14620-4648

Mailing address

880 Monon Green Blvd Apt 410
Carmel, IN 46032-3488
Phone (463) 248-7016

Other practice location 1

535 Barnhill Dr
Indianapolis, IN 46202-5116
Phone (317) 445-2575

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
I20251015002782 NY Practitioner - Urology 1951757780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Urology AssociatesGroup PAC ID 4880642537, 63 clinicians

Practice addresses (Care Compare)

158 Sawgrass Dr
FL 2
Rochester, NY 14620-4648
Phone (585) 275-2838

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Highland Hospital Hospital, Rochester, NY, CCN 330164
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340044NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Urology Associates Urology CurrentSince Sep 1, 2025 Accepting new patients
University of Rochester OBGYN Subspecialties PastSince Sep 1, 2025 Accepting new patients

Locations

699 S Main St
Ste 6
Canandaigua, NY 14424

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

158 Sawgrass Dr
Fl 2
Rochester, NY 14620
Phone (585) 275-1230

Organizations & group practices 2

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 4

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1740065580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 MONON GREEN BLVD APT 410",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323488",
            "telephone_number": "463-248-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 SAWGRASS DR FL 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204648",
            "telephone_number": "585-275-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Barnhill Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025116",
            "country_code": "US",
            "telephone_number": "317-445-2575",
            "fax_number": "317-278-0221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "THAIRO",
        "middle_name": "ALVES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-29",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "11023279A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "340044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.