Individual provider Active NPI

Peter Kogut, M.D.

  • Gynecology Physician
  • Rochester, NY
National Provider Identifier
1902869464
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
124512 Issued in NY
Practice address
1820 S Clinton Ave
Rochester, NY 14618-2608
Phone
(473) 585-2846
Fax
(585) 473-3098
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 124512 NY Primary

Addresses

Primary practice location

1820 S Clinton Ave
Rochester, NY 14618-2608

Mailing address

1820 S Clinton Ave
Rochester, NY 14618-2608
Phone (473) 585-2846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124512NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park West Women'S Health, PC CurrentSince Jan 1, 2002 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

300 Red Creek Dr
Ste 100
Rochester, NY 14623
Phone (585) 473-1727

1820 S Clinton Ave
Rochester, NY 14618
Phone (585) 473-2846

Organizations & group practices 2

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1902869464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182608",
            "telephone_number": "473-585-2846",
            "fax_number": "585-473-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182608",
            "telephone_number": "473-585-2846",
            "fax_number": "585-473-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGUT",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "124512",
            "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 Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.