Organization Active NPI

Cardiology Clinical Group

  • Cardiovascular Disease Physician
  • Rochester, NY
National Provider Identifier
1811936727
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOLOGY CLINICAL GROUP
Practice address
601 Elmwood Ave
Box 679B
Rochester, NY 14642-0001
Phone
(585) 275-4751
Fax
(585) 473-1573
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Jill M Hetterich
Title
Senior Director of Finance, Urmfg
Phone
(585) 756-4003

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Heart Failure and Transplant Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0001X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

601 Elmwood Ave
Box 679B
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave # 679-B
Rochester, NY 14642-0001
Phone (585) 275-6168

Other identifiers 4

IdentifierTypeStateIssuer
2190040OtherNYINDEPENDENT HEALTH
00792190MedicaidNY
CB1630OtherNYMEDICARE RAILROAD
G0185482590OtherNYBLUE CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040220000811 NY Part B Supplier - Clinic/Group Practice 3577458199 Receives reassigned benefits from 193 practitioners
Practice locations: Penfield, NY; Penn Yan, NY; Rochester, NY; Seneca Falls, NY; Wellsville, NY; Newark, NY; Big Flats, NY; Brockport, NY…

National Provider Directory

National Provider Directory

Locations (25 of 28)

84 Canal St
Ste B
Big Flats, NY 14814
Phone (585) 273-3760

395 West Ave
Canandaigua, NY 14424
Phone (585) 396-6000

395 West St
Ste 307
Canandaigua, NY 14424
Phone (585) 396-1980

299 Main St
Dansville, NY 14437
Phone (585) 335-9840

144 Court St
Geneseo, NY 14454
Phone (585) 243-8009

4500 Millennium Dr
Ste B
Geneseo, NY 14454
Phone (585) 335-8661

7309 Seneca Rd N
Hornell, NY 14843
Phone (607) 282-5200

75 Sunset Dr
#A
Newark, NY 14513
Phone (315) 331-4375

3132 Nys Route 417
Olean, NY 14760
Phone (716) 372-3212

30 Hagen Dr
Ste 100
Rochester, NY 14625
Phone (585) 242-9450

601 Elmwood Ave
#679
Rochester, NY 14642
Phone (585) 275-2475

600 Red Creek Dr
#100
Rochester, NY 14623
Phone (585) 341-6780

140 Canal View Blvd
Ste 102
Rochester, NY 14623
Phone (585) 242-9450

2400 S Clinton Ave
Ste H130
Rochester, NY 14618
Phone (585) 341-7103

377 White Spruce Blvd
Rochester, NY 14623
Phone (585) 336-5252

2400 S Clinton Ave
Bldg C
Rochester, NY 14618
Phone (716) 341-7200

601 Elmwood Ave
#679B
Rochester, NY 14642
Phone (585) 273-3760

2400 S Clinton Ave
Bldg G
Rochester, NY 14618
Phone (505) 341-7684

375 White Spruce Blvd
Rochester, NY 14623
Phone (585) 244-5450

1000 South Ave
#15
Rochester, NY 14620
Phone (585) 341-6780

120 Erie Canal Dr
Ste 310
Rochester, NY 14626
Phone (585) 225-6296

1100 Elmwood Ave
Rochester, NY 14620
Phone (585) 271-0680

2400 S Clinton Ave
Bldg H
Rochester, NY 14618
Phone (585) 276-5205

2400 S Clinton Ave
Bldg B
Rochester, NY 14618

2400 S Clinton Ave
Bldg GFL1
Rochester, NY 14618

Practitioners & affiliated clinicians

Practitioners 256

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 256

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1811936727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE # 679-B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 679B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-4751",
            "fax_number": "585-473-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CLINICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "HETTERICH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF FINANCE, URMFG",
        "authorized_official_telephone_number": "585-756-4003"
    },
    "taxonomies": [
        {
            "code": "207RA0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "2190040",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00792190",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CB1630",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "G0185482590",
            "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 Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.