Individual provider Active NPI

Nicholas Dimitri David, M.D.

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1740715564
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
304641 Issued in NY
Practice address
2400 S Clinton Ave Ste G2
Rochester, NY 14618-2636
Phone
(585) 341-7685
Fax
(585) 341-4220
NPI assigned
Apr 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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 304641 NY Primary

Addresses

Primary practice location

2400 S Clinton Ave Ste G2
Rochester, NY 14618-2636

Mailing address

2400 S Clinton Ave Ste G2
Rochester, NY 14618-2636
Phone (585) 341-7685

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
I20200914000188 NY Practitioner - Internal Medicine 5991075962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony L. Jordan Health CorporationGroup PAC ID 8729079785, 39 clinicians

Practice addresses (Care Compare)

82 Holland St
Rochester, NY 14605-2131
Phone (585) 423-5800

Hospital & facility affiliations

  • Rochester Regional Health Home Care Home health agency, Rochester, NY, CCN 337066
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Highland Hospital Hospital, Rochester, NY, CCN 330164

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony L. Jordan Health Corporation Current Accepting new patients
University of Rochester Past Accepting new patients
Strong Medical Group Internal Medicine Past Accepting new patients

Locations

82 Holland St
Rochester, NY 14605
Phone (585) 423-5800

214 Lake Ave
#A
Rochester, NY 14608
Phone (585) 784-5901

214C Lake Ave
Rochester, NY 14608

Organizations & group practices 3

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": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1740715564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S CLINTON AVE STE G2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182636",
            "telephone_number": "585-341-7685",
            "fax_number": "585-341-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S CLINTON AVE STE G2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182636",
            "telephone_number": "585-341-7685",
            "fax_number": "585-341-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "NICHOLAS",
        "middle_name": "DIMITRI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-30",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "304641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.