Individual provider Active NPI

Tara L Gellasch, MD

  • Obstetrics & Gynecology Physician
  • Newark, NY
National Provider Identifier
1780694489
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
253197 Issued in NY
Practice address
1250 Driving Park Ave
Newark, NY 14513-1057
Phone
(315) 332-2427
Fax
(315) 332-2324
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101237926 VA
Obstetrics & Gynecology Physician 207V00000X 253197 NY Primary

Addresses

Primary practice location

1250 Driving Park Ave
Newark, NY 14513-1057

Mailing address

1250 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2427

Other identifiers 1

IdentifierTypeStateIssuer
03105295MedicaidNY

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
I20090804000285 NY Practitioner - Obstetrics/Gynecology 8224073788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians

Practice addresses (Care Compare)

33 Chandler Ave
Batavia, NY 14020-1684
Phone (585) 344-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
253197NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Feb 13, 2016 Accepting new patients
United Memorial Medical Center Obstetrics & Gynecology CurrentSince Sep 1, 2020 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Western New York Medical Practice P.C. CurrentSince Apr 8, 2017 Accepting new patients
Rochester General Hospital CurrentSince Feb 13, 2016 Accepting new patients
Rochester General Hospital Obstetrics & Gynecology Current Accepting new patients
Mid-Atlantic Womens Care PLC PastSince Jan 1, 1990 Accepting new patients
Mid-Atlantic Womens Care Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients

Locations

33 Chandler Ave
Batavia, NY 14020
Phone (585) 343-9676

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

127 North St
Batavia, NY 14020
Phone (585) 267-7510

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

4302 Gateway Dr
Geneseo, NY 14454
Phone (585) 295-5450

1250 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2427

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1415 Portland Ave
Ste 400
Rochester, NY 14621
Phone (585) 922-4200

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

1331 E Victor Rd
Victor, NY 14564
Phone (585) 498-2280

Interoperability endpoints

  • Direct secure messaging: tgellasch33135@direct.rochesterregional.org
  • FHIR API: https://api.platform.athenahealth.com/610/brand/3/csg/45/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1780694489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "315-332-2427",
            "fax_number": "315-332-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "315-332-2427",
            "fax_number": "315-332-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLASCH",
        "first_name": "TARA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101237926",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "253197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03105295",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.