Individual provider Active NPI

Brent Dubeshter, MD

  • Gynecologic Oncology Physician
  • Rochester, NY
National Provider Identifier
1902816663
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
1659901 Issued in NY
Practice address
125 Lattimore Rd
Suite 258
Rochester, NY 14620-4159
Phone
(585) 442-8020
Fax
(585) 442-8039
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 165990 NY
Gynecologic Oncology Physician 207VX0201X 1659901 NY Primary

Addresses

Primary practice location

125 Lattimore Rd
Suite 258
Rochester, NY 14620-4159

Mailing address

125 Lattimore Rd
Suite 258
Rochester, NY 14620-4159
Phone (585) 442-8020

Other identifiers 1

IdentifierTypeStateIssuer
00971366MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bdubeshter3863@direct.urmc.rochester.edu Direct
Direct Messaging Address bdubeshter3863@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.97 of 100Reported as group
Quality
78.02
Promoting interoperability
100
Improvement activities
40
Cost
52.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165990NYMDGynecologic Oncology Physician
1659901NYMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GYN Oncology Group of the University of Rochester Gynecologic Oncology CurrentSince Apr 1, 1999 Accepting new patients

Locations

601 Elmwood Ave
#668
Rochester, NY 14642
Phone (585) 275-2691

125 Lattimore Rd
Ste 258
Rochester, NY 14620
Phone (585) 442-8020

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

Interoperability endpoints

  • Direct secure messaging: bdubeshter3863@direct.urmc.rochester.edu

Organizations & group practices 1

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1902816663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LATTIMORE RD",
            "address_2": "SUITE 258",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204159",
            "telephone_number": "585-442-8020",
            "fax_number": "585-442-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LATTIMORE RD",
            "address_2": "SUITE 258",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204159",
            "telephone_number": "585-442-8020",
            "fax_number": "585-442-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBESHTER",
        "first_name": "BRENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "165990",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "1659901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00971366",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdubeshter3863@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdubeshter3863@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.