NPIMap

Individual provider Active NPI

Andrew James Kretovic, P.A-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1891183000
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
018380 Issued in NY
Practice address
158 Sawgrass Dr FL 2
Rochester, NY 14620-4648
Phone
(585) 275-2838
NPI assigned
Dec 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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 018380 NY Primary

Addresses

Primary practice location

158 Sawgrass Dr FL 2
Rochester, NY 14620-4648

Mailing address

601 Elmwood Ave Box 656
Rochester, NY 14642-0001
Phone (585) 275-5283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150311001933 NY Practitioner - Physician Assistant 5092031930 Reassigns benefits to 1 organization
I20220608000109 VT Practitioner - Physician Assistant 5092031930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Urology AssociatesGroup PAC ID 4880642537, 63 clinicians

Practice addresses (Care Compare)

158 Sawgrass Dr
FL 2
Rochester, NY 14620-4648
Phone (585) 275-2838

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-4507

601 Elmwood Ave Box
Suite 278911
Rochester, NY 14642-0001

699 S Main St
Canandaigua, NY 14424-2208
Phone (585) 275-2838

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074
  • Geneva General Hospital Hospital, Geneva, NY, CCN 330058
  • St James Hospital Hospital, Hornell, NY, CCN 330151
  • Soldiers and Sailors Memorial Hospital of Yates Hospital, Penn Yan, NY, CCN 331314

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
58.11
Promoting interoperability
100
Improvement activities
40
Cost
78.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc CurrentSince May 1, 2022 Accepting new patients
University of Rochester OBGYN Subspecialties PastSince Oct 1, 2023 Accepting new patients

Locations

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

Interoperability endpoints

  • Direct secure messaging: akretovic477381@direct.urmc.rochester.edu

Organizations & group practices 3

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": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1891183000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 656",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 SAWGRASS DR FL 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204648",
            "telephone_number": "585-275-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETOVIC",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-23",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.