Individual provider Active NPI

Bradley A Vanheukelum, MD

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1841213022
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
247976 Issued in NY
Practice address
999 E Ridge Rd Ste 800
Rochester, NY 14621-1936
Phone
(585) 341-3600
Fax
(585) 266-3169
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 247976 NY Primary

Addresses

Primary practice location

999 E Ridge Rd Ste 800
Rochester, NY 14621-1936

Mailing address

999 E Ridge Rd Ste 800
Rochester, NY 14621-1936
Phone (585) 341-3600

Other identifiers 1

IdentifierTypeStateIssuer
03135682MedicaidNY

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
I20091119000110 NY Practitioner - Family Practice 9537207188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Cincinnati College of Medicine and Surgery, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Highland Hospital of RochesterGroup PAC ID 5496641631, 403 clinicians

Practice addresses (Care Compare)

470 Collins St
Avon, NY 14414-1466
Phone (585) 226-2640

999 E Ridge Rd
Suite 800
Rochester, NY 14621-1936
Phone (585) 341-3600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Jun 1, 2020 Accepting new patients
University of Rochester CurrentSince Jun 1, 2020 Accepting new patients
Highland Hospital of Rochester CurrentSince Sep 13, 2009 Accepting new patients
Highland Hospital of Rochester CurrentSince Sep 13, 2009 Accepting new patients
His Branches, Inc. Past Accepting new patients
Highland Hospital of Rochester Family Medicine Past Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

601 Elmwood Ave
#320
Rochester, NY 14642

999 E Ridge Rd
Ste 800
Rochester, NY 14621
Phone (585) 341-3600

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

82 Holland St
Rochester, NY 14605
Phone (585) 423-5800

Interoperability endpoints

  • Direct secure messaging: bvanheukelum3280@direct.urmc.rochester.edu
  • Direct secure messaging: bradley.vanheukelum@hbi.eclinicaldirectplus.com

Organizations & group practices 6

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 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1841213022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 E RIDGE RD STE 800",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211936",
            "telephone_number": "585-341-3600",
            "fax_number": "585-266-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E RIDGE RD STE 800",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211936",
            "telephone_number": "585-341-3600",
            "fax_number": "585-266-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHEUKELUM",
        "first_name": "BRADLEY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "247976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03135682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.