Active NPI
Brent Dubeshter, MD
- Gynecologic Oncology Physician
- Rochester, NY
National Provider Identifier
1902816663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 1659901
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00971366 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.97 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 165990 | NY | MD | Gynecologic Oncology Physician |
| 1659901 | NY | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GYN Oncology Group of the University of Rochester | Gynecologic Oncology | Current | 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
- 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.
-
- Gynecologic Oncology Physician
- Rochester, NY
- NPI 1033129044
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.