NPIMap

Organization Active NPI

Wellbe New York Medical PC

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1902586712
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELLBE NEW YORK MEDICAL PC
Practice address
100 S Clinton Ave
Rochester, NY 14604-1846
Phone
(855) 443-3224
Fax
(585) 895-6246
NPI assigned
Jul 18, 2023
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Iyad Houshan, MDNPI 1497773287
Title
President
Phone
(312) 872-7559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

100 S Clinton Ave
Rochester, NY 14604-1846

Mailing address

225 W Washington St Ste 1700
Chicago, IL 60606-3404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231117001533 NY Part B Supplier - Clinic/Group Practice 6709233497 Receives reassigned benefits from 24 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

225 W Washington St
Ste 1700
Chicago, IL 60606
Phone (234) 200-4220

1156 6th Ave
New York, NY 10036
Phone (312) 776-2410

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1902586712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W WASHINGTON ST STE 1700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146041846",
            "telephone_number": "855-443-3224",
            "fax_number": "585-895-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBE NEW YORK MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "HOUSHAN",
        "authorized_official_first_name": "IYAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-872-7559",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.