Active NPI
Peter Kogut, M.D.
- Gynecology Physician
- Rochester, NY
National Provider Identifier
1902869464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 124512
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 124512 | NY | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park West Women'S Health, PC | Current | 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.
-
- Obstetrics & Gynecology Physician
- Rochester, NY
- NPI 1053374553
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
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.