Individual provider Active NPI

Audwin Joseph Pangilinan, M.D.

  • Vascular Surgery Physician
  • Rochester, NY
National Provider Identifier
1972566719
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
197797 Issued in NY
Practice address
2655 Ridgeway Ave
Suite 240
Rochester, NY 14626-4296
Phone
(585) 723-7060
Fax
(585) 723-7325
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 197797 NY Primary

Addresses

Primary practice location

2655 Ridgeway Ave
Suite 240
Rochester, NY 14626-4296

Mailing address

2655 Ridgeway Ave
Suite 240
Rochester, NY 14626-4296
Phone (585) 723-7060

Other identifiers 1

IdentifierTypeStateIssuer
02154396MedicaidNY

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
I20100304000559 NY Practitioner - General SurgeryPractitioner - Vascular Surgery 0547305351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Hahneman Medical College of the Pacific, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Wound Physician Services PLLCGroup PAC ID 6406170497, 7 clinicians

Practice addresses (Care Compare)

4459 Bailey Ave
Amherst, NY 14226-2129
Phone (716) 835-2543

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
197797NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Jan 21, 2010 Accepting new patients
Empire Wound Physician Services, PLLC CurrentSince Jan 13, 2025 Accepting new patients
Rochester Vascular Surgery Associates, P.C. Vascular Surgery Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 21, 2010 Accepting new patients

Locations

257 State St
Batavia, NY 14020
Phone (585) 343-1300

170 West Ave
Brockport, NY 14420
Phone (585) 395-6052

4459 Bailey Ave
Buffalo, NY 14226
Phone (716) 835-2543

28 Kellogg Rd
Cortland, NY 13045
Phone (607) 753-6060

2850 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 662-2544

434 Monroe Ave
Hornell, NY 14843
Phone (607) 324-7740

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

2600 Niagara Falls Blvd
Niagara Falls, NY 14304
Phone (716) 215-8000

2655 Ridgeway Ave
Ste 240
Rochester, NY 14626
Phone (585) 723-7060

503 Beahan Rd
Rochester, NY 14624
Phone (585) 594-0026

3525 Buffalo Rd
Rochester, NY 14624
Phone (585) 594-2000

425 Beach Ave
Rochester, NY 14612
Phone (585) 663-0930

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

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

4192A Bolivar Rd
Wellsville, NY 14895
Phone (585) 593-4400

Organizations & group practices 4

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1972566719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE",
            "address_2": "SUITE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264296",
            "telephone_number": "585-723-7060",
            "fax_number": "585-723-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE",
            "address_2": "SUITE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264296",
            "telephone_number": "585-723-7060",
            "fax_number": "585-723-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGILINAN",
        "first_name": "AUDWIN",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "197797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02154396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.