Individual provider Active NPI

Jeanne C Beddoe, M.D.

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1902847882
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
167542 Issued in NY
Practice address
809 Ridge Rd E
Rochester, NY 14621-1710
Phone
(585) 341-3620
Fax
(585) 266-3169
NPI assigned
Jun 9, 2006
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 167542 NY Primary

Addresses

Primary practice location

809 Ridge Rd E
Rochester, NY 14621-1710

Mailing address

601 Elmwood Ave
Box 278980
Rochester, NY 14642-0001

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jbeddoe6294@direct.urmc.rochester.edu Direct
Direct Messaging Address jbeddoe6294@direct.urmc.rochester.edu 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
I20100520000342 NY Practitioner - Family Practice 7618006255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Harvard Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony L. Jordan Health CorporationGroup PAC ID 8729079785, shared by 7 NPIs, 39 clinicians

Practice addresses (Care Compare)

82 Holland St
Rochester, NY 14605-2131
Phone (585) 423-5800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Hospital of Rochester Family Medicine CurrentSince Mar 1, 1991 Accepting new patients
Highland Hospital of Rochester CurrentSince Mar 1, 1991 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

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

601 Elmwood Ave
#278980
Rochester, NY 14642
Phone (585) 768-2620

601 Elmwood Ave
#320
Rochester, NY 14642

809 E Ridge Rd
Rochester, NY 14621
Phone (585) 341-3620

82 Holland St
Rochester, NY 14605
Phone (585) 423-5800

Interoperability endpoints

  • Direct secure messaging: jbeddoe6294@direct.urmc.rochester.edu

Organizations & group practices 3

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1902847882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 278980",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 RIDGE RD E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211710",
            "telephone_number": "585-341-3620",
            "fax_number": "585-266-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDDOE",
        "first_name": "JEANNE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "167542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbeddoe6294@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": "jbeddoe6294@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.