NPIMap

Organization Active NPI

Radiologists of Univ of Rochester

  • Diagnostic Radiology Physician
  • Rochester, NY
National Provider Identifier
1821030362
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGISTS OF UNIV OF ROCHESTER
Practice address
601 Elmwood Ave
Box 648
Rochester, NY 14642-0001
Phone
(585) 275-1376
Fax
(585) 273-1033
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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) 756-4008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

601 Elmwood Ave
Box 648
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave
Box 648
Rochester, NY 14642-0001
Phone (585) 275-2734

Other identifiers 1

IdentifierTypeStateIssuer
00487669MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031119000632 NY Part B Supplier - Clinic/Group Practice 6800700170 Receives reassigned benefits from 197 practitioners
Practice locations: Wellsville, NY; Spencerport, NY; Rochester, NY; Dansville, NY; Penfield, NY; Hornell, NY; Canandaigua, NY; Brockport, NY

National Provider Directory

National Provider Directory

Locations

2064 Fairport Nine Mile Point Rd
Ste 110
Penfield, NY 14526
Phone (585) 758-0334

2212 Penfield Rd
Penfield, NY 14526
Phone (585) 598-8505

2136 Five Mile Line Rd
Penfield, NY 14526
Phone (585) 385-9919

2064 Fairport Nine Mile Point Rd
#110
Penfield, NY 14526
Phone (585) 758-0334

2212 Penfield Rd
Ste 500
Penfield, NY 14526
Phone (585) 487-3300

601 Elmwood Ave
#323
Rochester, NY 14642
Phone (585) 273-2383

500 Red Creek Dr
Rochester, NY 14623
Phone (585) 341-6505

601 Elmwood Ave
Ste 689
Rochester, NY 14642

601 Elmwood Ave
#648
Rochester, NY 14642
Phone (585) 275-1376

Practitioners & affiliated clinicians

Practitioners 205

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

View all 205

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1821030362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 648",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 648",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-1376",
            "fax_number": "585-273-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGISTS OF UNIV OF ROCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "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": "585-756-4008"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00487669",
            "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 Aug 9, 2022; 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.