Individual provider Active NPI

Bastian Domajnko, MD

  • Colon & Rectal Surgery Physician
  • Rochester, NY
National Provider Identifier
1760495816
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
248932 Issued in NY
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080630000123 NY Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 3173695541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Tufts University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Colon and Rectal Surgeons PCGroup PAC ID 8527097625, 10 clinicians

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 100Reported as group
Quality
64.83
Improvement activities
40
Cost
84.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy303
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036117665ILMDSurgery Physician
248932NYMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Colon and Rectal Surgeons, PC Colon & Rectal Surgery CurrentSince Jul 1, 2008 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

  • Direct secure messaging: bastian.domajnko@rochesterregional.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.