Individual provider Active NPI

Jinnah Alexandra Phillips, MD

  • Diagnostic Radiology Physician
  • Rochester, NY
National Provider Identifier
1750584553
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
336879 Issued in NY
Practice address
170 Sawgrass Dr
Rochester, NY 14620-4648
Phone
(585) 442-1830
Fax
(585) 758-7092
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 52881 CO
Diagnostic Radiology Physician 2085R0202X 045904 CT
Diagnostic Radiology Physician 2085R0202X 336879 NY Primary

Addresses

Primary practice location

170 Sawgrass Dr
Rochester, NY 14620-4648

Mailing address

170 Sawgrass Dr
Rochester, NY 14620-4648
Phone (585) 442-1830

Other identifiers 2

IdentifierTypeStateIssuer
1750584553MedicaidCT
2149613MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130926000256 CO Practitioner - Diagnostic Radiology 4880786011 Reassigns benefits to 4 organizations
I20250716000851 NY Practitioner - Diagnostic Radiology 4880786011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth Wende Breast Care LLCGroup PAC ID 7113002569, 7 clinicians

Practice addresses (Care Compare)

170 Sawgrass Dr
Rochester, NY 14620-4648
Phone (585) 442-2190

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as group
Quality
75
Improvement activities
40
Cost
88.31

Merit-based Incentive Payment System (MIPS)

Final score
75.38 of 100Reported as group
Quality
55.42
Promoting interoperability
96
Improvement activities
40
Cost
65.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52881COMDDiagnostic Radiology Physician
336879NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Vail Clinic, Inc. CurrentSince Sep 9, 2013 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Spectrum Medical Imaging, LLC Diagnostic Radiology CurrentSince Mar 14, 2016 Accepting new patients
Vail Clinic, Inc. CurrentSince Sep 9, 2013 Accepting new patients
Radiology LTD., LLC Diagnostic Radiology CurrentSince Nov 15, 2023 Accepting new patients
Elizabeth Wende Breast Care LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology PastSince Mar 14, 2016 Accepting new patients
Tolland Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Locations

677 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 571-9599

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

1746 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 716-3787

1746 Cole Blvd
Ste 100
Lakewood, CO 80401

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

203 Summit St
Batavia, NY 14020
Phone (585) 201-7793

126 Court St
Geneseo, NY 14454

170 Sawgrass Dr
Rochester, NY 14620
Phone (585) 442-2190

3 Saredon Pl
Ste 200
Rochester, NY 14606

7375 State Route 96
Ste 100
Victor, NY 14564

1571 Washington St
Ste 101B
Watertown, NY 13601

55 Barrett Dr
Ste 300
Webster, NY 14580

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1750584553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 SAWGRASS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204648",
            "telephone_number": "585-442-1830",
            "fax_number": "585-758-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SAWGRASS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204648",
            "telephone_number": "585-442-1830",
            "fax_number": "585-758-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JINNAH",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "52881",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "045904",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "336879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750584553",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2149613",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.