NPIMap

Individual provider Active NPI

Taras Nazarevych, PA

  • Medical Physician Assistant
  • Oakfield, NY
National Provider Identifier
1902574577
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
027264 Issued in NY
Practice address
41 Main St
Oakfield, NY 14125-1014
Phone
(585) 948-8077
Fax
(585) 948-9159
NPI assigned
Aug 31, 2021
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 027264 NY Primary

Addresses

Primary practice location

41 Main St
Oakfield, NY 14125-1014

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 948-8077

Other practice location 1

6966 W Bergen Rd
Bergen, NY 14416-9743
Phone (585) 494-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211101002338 NY Practitioner - Physician Assistant 9931597515 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians

Practice addresses (Care Compare)

127 N St
Batavia, NY 14020-1631

16 Bank St
Batavia, NY 14020-2250
Phone (585) 344-4800

229 Summit St
Batavia, NY 14020-1645

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Dec 6, 2021 Accepting new patients
Oakfield Family Medical Care, PLLC CurrentSince Oct 31, 2021 Accepting new patients
Rochester General Hospital CurrentSince Dec 6, 2021 Accepting new patients
Western New York Medical Practice P.C CurrentSince Dec 6, 2021 Accepting new patients

Locations

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

41 Main St
Oakfield, NY 14125
Phone (585) 921-1053

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

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

Interoperability endpoints

  • Direct secure messaging: tnazarevych332906@direct.rochesterregional.org

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

Hospital & facility affiliations 3

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1902574577",
    "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": "585-948-8077",
            "fax_number": "585-948-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MAIN ST",
            "city": "OAKFIELD",
            "state": "NY",
            "postal_code": "141251014",
            "telephone_number": "585-948-8077",
            "fax_number": "585-948-9159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6966 W Bergen Rd",
            "address_purpose": "LOCATION",
            "city": "Bergen",
            "state": "NY",
            "postal_code": "144169743",
            "country_code": "US",
            "telephone_number": "585-494-1300",
            "fax_number": "585-494-1132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZAREVYCH",
        "first_name": "TARAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "027264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakfield, NY

Sources for this page

Verify at the official NPI Registry.