Individual provider Active NPI

Katie Marie Bean, MD

  • Pediatrics Physician
  • Newark, NY
National Provider Identifier
1902547532
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
339008 Issued in NY
Practice address
1200 Driving Park Ave Ste 2
Newark, NY 14513-1090
Phone
(315) 359-2660
Fax
(315) 359-2635
NPI assigned
Apr 6, 2022
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 339008 NY Primary

Addresses

Primary practice location

1200 Driving Park Ave Ste 2
Newark, NY 14513-1090

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

1600 Rockland Rd Ste 3D16
Wilmington, DE 19803-3607
Phone (302) 651-5874

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbean431073@direct.rochesterregional.org Direct

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
I20250919001330 NY Practitioner - Pediatric Medicine 9032506050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Kings Hwy S
Rochester, NY 14617-5504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
339008NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jul 28, 2025 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jul 28, 2025 Accepting new patients
Rochester General Hospital Pediatrics CurrentSince Jul 28, 2025 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jul 28, 2025 Accepting new patients

Locations

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

1200 Driving Park Ave
Ste 2
Newark, NY 14513
Phone (315) 359-2660

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1902547532",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DRIVING PARK AVE STE 2",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131090",
            "telephone_number": "315-359-2660",
            "fax_number": "315-359-2635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Rockland Rd Ste 3D16",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198033607",
            "country_code": "US",
            "telephone_number": "302-651-5874",
            "fax_number": "302-651-5954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAN",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "339008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbean431073@direct.rochesterregional.org",
            "affiliation": "N",
            "endpointDescription": "RRH - Newark Pediatrics",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 Driving Park Ave Ste 2",
            "city": "Newark",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145131090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.