Active NPI
Bastian Domajnko, MD
- Colon & Rectal Surgery Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 248932
- Practice address
- 600 Red Creek Dr Ste 200
Rochester, NY 14623-4300 - Phone
- (585) 244-5670
- Fax
- (585) 359-3907
- NPI assigned
- Aug 13, 2006
- Last updated
- Sep 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036117665 | IL | |
| Colon & Rectal Surgery Physician | 208C00000X | 036117665 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Colon & Rectal Surgery Physician | 208C00000X | 248932 | NY | Primary |
Addresses
Primary practice location
600 Red Creek Dr Ste 200
Rochester, NY 14623-4300
Mailing address
600 Red Creek Dr Ste 200
Rochester, NY 14623-4300
Phone (585) 244-5670
Other practice location 1
121 Erie Canal Dr Ste B
Rochester, NY 14626-4605
Phone (585) 222-6566
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Bastian.Domajnko@rochesterregional.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Tufts University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Red Creek Dr
Suite 200
Rochester, NY 14623-4300
Phone (585) 222-6566
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.76 of 100
- Quality
- 64.83
- Improvement activities
- 40
- Cost
- 84.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 303 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036117665 | IL | MD | Surgery Physician |
| 248932 | NY | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester Colon and Rectal Surgeons, PC | Colon & Rectal Surgery | Current | Accepting new patients |
| The Unity Hospital of Rochester | Past | Accepting new patients |
Locations
121 Erie Canal Dr
Ste B
Rochester, NY 14626
Phone (585) 222-6566
125 Lattimore Rd
Ste 270
Rochester, NY 14620
Phone (585) 244-5670
1255 Portland Ave
Uppr 3
Rochester, NY 14621
Phone (585) 222-6566
600 Red Creek Dr
#200
Rochester, NY 14623
Phone (585) 222-6566
730 Weiland Rd
Rochester, NY 14626
Phone (585) 719-9600
Interoperability endpoints
- bastian.domajnko@rochesterregional.org
- drdomajnko@rochestercolon.medentdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Colon & Rectal Surgery Physician
- Rochester, NY
- NPI 1396702411
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Unity Living Center
- Skilled Nursing Facility
- Rochester, NY
- NPI 1164406476
Hospital
-
dba Mental Health Outpatient Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rochester, NY
- NPI 1336366822
Hospital
-
dba Unity Physician Services
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
dba Unity Clinic Sites
- General Acute Care Hospital
- Rochester, NY
- NPI 1477798189
-
dba Park Ridge Chemical Dependency OP
- Substance Use Disorder Rehabilitation Clinic/Center
- Rochester, NY
- NPI 1689891178
Hospital
-
dba Unity Chemical Dependency Inpatient Unit
- Substance Use Disorder Rehabilitation Hospital Unit
- Rochester, NY
- NPI 1730237603
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1760495816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 RED CREEK DR STE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146234300",
"telephone_number": "585-244-5670",
"fax_number": "585-359-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 RED CREEK DR STE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146234300",
"telephone_number": "585-244-5670",
"fax_number": "585-359-3907"
}
],
"practiceLocations": [
{
"address_1": "121 Erie Canal Dr Ste B",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146264605",
"country_code": "US",
"telephone_number": "585-222-6566",
"fax_number": "585-225-5505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMAJNKO",
"first_name": "BASTIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036117665",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "IL",
"license": "036117665",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NY",
"license": "248932",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Bastian.Domajnko@rochesterregional.org",
"affiliation": "N",
"address_1": "600 Red Creek Dr Ste 200",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146234300",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.