Individual provider Active NPI

Brianne M Sisca, PA

  • Physician Assistant
  • Pittsford, NY
National Provider Identifier
1831205590
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006993 Issued in NY
Practice address
135 Sullys TRL Ste 5
Pittsford, NY 14534-4564
Phone
(585) 218-0072
Fax
(585) 218-0075
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006993 NY Primary

Addresses

Primary practice location

135 Sullys TRL Ste 5
Pittsford, NY 14534-4564

Mailing address

135 Sullys TRL Ste 5
Pittsford, NY 14534-4564
Phone (585) 218-0072

Other practice location 1

468 Pearl Street
Canandaigua, NY 14425
Phone (585) 218-0072

Other identifiers 1

IdentifierTypeStateIssuer
00355266MedicaidNY

Other names 1

  • Brianne McGrady Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050324001064 NY Practitioner - Physician Assistant 7517913262 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006993NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Dec 31, 2018 Accepting new patients
Rochester General Hospital CurrentSince Dec 31, 2018 Accepting new patients
Rochester General Hospital CurrentSince Dec 31, 2018 Accepting new patients
Western New York Medical Practice P.C CurrentSince Dec 31, 2018 Accepting new patients

Locations

468 S Pearl St
Canandaigua, NY 14424
Phone (585) 218-0072

2226 Penfield Rd
Penfield, NY 14526
Phone (585) 388-5280

135 Sullys Trl
Ste 5
Pittsford, NY 14534
Phone (585) 218-0072

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

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

1445 Portland Ave
Ste 304
Rochester, NY 14621
Phone (585) 342-7170

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

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

Interoperability endpoints

  • Direct secure messaging: bsisca248386@direct.rochesterregional.org

Organizations & group practices 5

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1831205590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SULLYS TRL STE 5",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344564",
            "telephone_number": "585-218-0072",
            "fax_number": "585-218-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SULLYS TRL STE 5",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344564",
            "telephone_number": "585-218-0072",
            "fax_number": "585-218-0075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "468 Pearl Street",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "14425",
            "country_code": "US",
            "telephone_number": "585-218-0072",
            "fax_number": "585-218-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISCA",
        "first_name": "BRIANNE",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355266",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNE",
            "last_name": "MCGRADY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.