Active NPI
Jane Krause Doeblin, M.D.
- Obstetrics & Gynecology Physician
- Rochester, NY
National Provider Identifier
1780647248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 185545
- Practice address
- 1815 S Clinton Ave
Suite 610
Rochester, NY 14618-5720 - Phone
- (585) 244-3430
- Fax
- (585) 244-7811
- NPI assigned
- Apr 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 185545 | NY | Primary |
Addresses
Primary practice location
1815 S Clinton Ave
Suite 610
Rochester, NY 14618-5720
Mailing address
1815 Clinton Ave S
Suite 610
Rochester, NY 14618-5720
Phone (585) 244-3430
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000917435002 | Other | NY | BC/BS OF WESTERN NEW YORK |
| 5705335 | Other | NY | AETNA |
| 9526692 | Other | NY | GHI |
| 102661CK | Other | NY | PREFERRED CARE |
| 000917435003 | Other | NY | BC/BS OF WESTERN NEW YORK |
| 2703 | Other | NY | BC/BS |
| 01685083 | Medicaid | NY | |
| 010185545 | Other | NY | BLUE CHOICE |
| 000917435001 | Other | NY | BC/BS OF WESTERN NEW YORK |
| 160052750 | Other | NY | RAILROAD |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Rochester, NY
- NPI 1114980299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780647248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 CLINTON AVE S",
"address_2": "SUITE 610",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185720",
"telephone_number": "585-244-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 S CLINTON AVE",
"address_2": "SUITE 610",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185720",
"telephone_number": "585-244-3430",
"fax_number": "585-244-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOEBLIN",
"first_name": "JANE",
"middle_name": "KRAUSE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "185545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF WESTERN NEW YORK",
"identifier": "000917435002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5705335",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9526692",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "102661CK",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF WESTERN NEW YORK",
"identifier": "000917435003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "2703",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01685083",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "010185545",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF WESTERN NEW YORK",
"identifier": "000917435001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "160052750",
"state": "NY"
}
],
"endpoints": [],
"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 Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.