Individual provider Active NPI

Jane Krause Doeblin, M.D.

  • Obstetrics & Gynecology Physician
  • Rochester, NY
National Provider Identifier
1780647248
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
185545 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000917435002OtherNYBC/BS OF WESTERN NEW YORK
5705335OtherNYAETNA
9526692OtherNYGHI
102661CKOtherNYPREFERRED CARE
000917435003OtherNYBC/BS OF WESTERN NEW YORK
2703OtherNYBC/BS
01685083MedicaidNY
010185545OtherNYBLUE CHOICE
000917435001OtherNYBC/BS OF WESTERN NEW YORK
160052750OtherNYRAILROAD

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
I20111028000133 NY Practitioner - Obstetrics/Gynecology 1951345701 Reassigns benefits to 1 organization

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.

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

Verify at the official NPI Registry.