Individual provider Active NPI

Stephen John Xenias, MD

  • Dermatology Physician
  • Rochester, NY
National Provider Identifier
1861592503
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
145255 Issued in NY
Practice address
1716 Ridge Rd E
Rochester, NY 14622-2157
Phone
(585) 544-7320
Fax
(585) 544-9762
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 145255 NY Primary

Addresses

Primary practice location

1716 Ridge Rd E
Rochester, NY 14622-2157

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 544-7320

Other identifiers 4

IdentifierTypeStateIssuer
010145255OtherNYBLUE CHOICE
0859OtherNYBLUE SHIELD
MD4C50OtherNYPREFERRED CARE
010145255OtherNYEXCELLUS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sxenias57656@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
I20050311000631 NY Practitioner - Dermatology 1052365004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
145255NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Dermatology Associates Dermatology CurrentSince Mar 19, 2017 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Dec 16, 2019 Accepting new patients
Western New York Medical Practice P.C CurrentSince Dec 16, 2019 Accepting new patients
University Dermatology Associates Dermatology CurrentSince Mar 19, 2017 Accepting new patients

Locations

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

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

1716 E Ridge Rd
Rochester, NY 14622
Phone (585) 544-7320

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1861592503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-544-7320",
            "fax_number": "585-544-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 RIDGE RD E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222157",
            "telephone_number": "585-544-7320",
            "fax_number": "585-544-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XENIAS",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "145255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "010145255",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0859",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MD4C50",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "010145255",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sxenias57656@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "1716 Ridge Rd E",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146222157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.