Individual provider Active NPI

Resika Ubayawardena

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1851705628
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
289710 Issued in NY
Practice address
222 Alexander St, Ste 5000
Genesee Internal Medicine at Alexander Park
Rochester, NY 14607-4039
Phone
(585) 922-8003
Fax
(585) 922-8195
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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 289710 NY Primary

Addresses

Primary practice location

222 Alexander St, Ste 5000
Genesee Internal Medicine at Alexander Park
Rochester, NY 14607-4039

Mailing address

100 Kings Highway South
Provider Enrollment
Rochester, NY 14617-5504
Phone (585) 922-1304

Other practice location 1

127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rubayawardena235025@direct.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
I20170918001655 NY Practitioner - Family Practice 1153695952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Family Medicine CurrentSince May 21, 2018 Accepting new patients
Rochester General Hospital CurrentSince May 21, 2018 Accepting new patients
Western New York Medical Practice P.C. Family Medicine CurrentSince May 21, 2018 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

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

222 Alexander St
Ste 5000
Rochester, NY 14607
Phone (585) 922-8003

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

222 Alexander St
Ste 4100
Rochester, NY 14607
Phone (585) 922-8225

222 Alexander St
Ste 5500
Rochester, NY 14607
Phone (585) 922-8003

Interoperability endpoints

  • Direct secure messaging: rubayawardena235025@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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1851705628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HIGHWAY SOUTH",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-1304",
            "fax_number": "585-922-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ALEXANDER ST, STE 5000",
            "address_2": "GENESEE INTERNAL MEDICINE AT ALEXANDER PARK",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074039",
            "telephone_number": "585-922-8003",
            "fax_number": "585-922-8195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107014006",
            "country_code": "US",
            "telephone_number": "914-378-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UBAYAWARDENA",
        "first_name": "RESIKA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "289710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rubayawardena235025@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "222 Alexander St, Ste 5000",
            "address_2": "Genesee Internal Medicine at Alexander Park",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146074039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.