Individual provider Active NPI

Jazeela Fayyaz, D.O.

  • Pulmonary Disease Physician
  • Rochester, NY
National Provider Identifier
1811179542
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
248680 Issued in NY
Practice address
1561 Long Pond Rd
Suite 408
Rochester, NY 14626-4117
Phone
(585) 723-7575
NPI assigned
Dec 5, 2007
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 248680 NY Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 248680 NY

Addresses

Primary practice location

1561 Long Pond Rd
Suite 408
Rochester, NY 14626-4117

Mailing address

1561 Long Pond Rd
Suite 408
Rochester, NY 14626-4117
Phone (585) 723-7575

Other identifiers 1

IdentifierTypeStateIssuer
03260579MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL 1561LongPondRdSuite408RochesterNy14626
Direct Messaging Address jazeela.fayyaz@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
I20101102001359 NY Practitioner - Pulmonary Disease 7113002361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

127 N St
Batavia, NY 14020-1631
Phone (585) 344-5466

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 429-2289

1561 Long Pond Rd
Suite 414
Rochester, NY 14626-4117
Phone (585) 723-7750

1565 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7366

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

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

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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Sep 1, 2010 Accepting new patients
United Memorial Medical Center CurrentSince Feb 16, 2019 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
United Memorial Medical Center Current Accepting new patients

Locations

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

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

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1561 Long Pond Rd
Ste 408
Rochester, NY 14626
Phone (585) 442-4141

Interoperability endpoints

  • Direct secure messaging: jfayyaz116081@direct.rochesterregional.org

Organizations & group practices 4

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": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1811179542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 LONG POND RD",
            "address_2": "SUITE 408",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264117",
            "telephone_number": "585-723-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 LONG POND RD",
            "address_2": "SUITE 408",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264117",
            "telephone_number": "585-723-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYYAZ",
        "first_name": "JAZEELA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "248680",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "248680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03260579",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1561LongPondRdSuite408RochesterNy14626",
            "affiliation": "N",
            "address_1": "1561 Long Pond Rd",
            "address_2": "Suite 408",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jazeela.fayyaz@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1561 Long Pond Rd",
            "address_2": "Suite 408",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.