Individual provider Active NPI

Alexandre Andreitchouk, MD

  • Obstetrics & Gynecology Physician
  • Newark, NY
National Provider Identifier
1952585044
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
246377 Issued in NY
Practice address
1250 Driving Park Ave
Newark, NY 14513-1057
Phone
(315) 332-2427
Fax
(315) 332-2324
NPI assigned
Dec 25, 2007
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 246377 NY Primary

Addresses

Primary practice location

1250 Driving Park Ave
Newark, NY 14513-1057

Mailing address

1250 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2427

Other practice location 1

2 Coulter Rd Ste 2660
Clifton Springs, NY 14432-1122
Phone (315) 462-1125

Other practice location 2

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 368-4020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aandreitchouk106344@direct.rochesterregional.org

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
I20111013000553 NY Practitioner - Obstetrics/Gynecology 2365520160 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1208 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 359-2640

1250 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2427

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246377NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Oct 1, 2019 Accepting new patients
Rochester General Hospital CurrentSince Oct 17, 2011 Accepting new patients
Rochester General Hospital CurrentSince Oct 17, 2011 Accepting new patients
Newark Wayne Community Hospital CurrentSince Mar 29, 2012 Accepting new patients
Rochester General Hospital Obstetrics & Gynecology Current Accepting new patients
Clifton Springs Sanitarium Co CurrentSince May 1, 2019 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 28, 2019 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Newark Wayne Community Hospital CurrentSince Mar 29, 2012 Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

2 Coulter Rd
Ste 2660
Clifton Springs, NY 14432
Phone (315) 210-6280

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

1250 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2427

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Interoperability endpoints

  • Direct secure messaging: aandreitchouk106344@direct.rochesterregional.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1952585044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "315-332-2427",
            "fax_number": "315-332-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "315-332-2427",
            "fax_number": "315-332-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Coulter Rd Ste 2660",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1125",
            "fax_number": "315-462-1494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264122",
            "country_code": "US",
            "telephone_number": "585-368-4020",
            "fax_number": "585-368-4019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREITCHOUK",
        "first_name": "ALEXANDRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-25",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "246377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aandreitchouk106344@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "2 Coulter Rd Ste 2660",
            "city": "Clifton Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144321122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.