Individual provider Active NPI

Nikita Sarika Jaggernauth, MD

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1982267472
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
333413 Issued in NY
Practice address
1299 Portland Ave Ste 17
Rochester, NY 14621-2727
Phone
(585) 922-4003
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 71151 CT
Internal Medicine Physician 207R00000X 333413 NY Primary

Addresses

Primary practice location

1299 Portland Ave Ste 17
Rochester, NY 14621-2727

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

Norwalk Hospital
34 Maple Street
Norwalk, CT 06856-3815
Phone (203) 852-2025

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
I20250922001020 NY Practitioner - Internal Medicine 6305221771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
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)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Aug 4, 2025 Accepting new patients
Rochester General Hospital Internal Medicine Current Accepting new patients
Rochester General Hospital Internal Medicine CurrentSince Aug 4, 2025 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

1425 Portland Ave
#304
Rochester, NY 14621
Phone (585) 922-0866

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

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

1299 Portland Ave
Ste 17
Rochester, NY 14621
Phone (585) 922-4003

Interoperability endpoints

  • Direct secure messaging: njaggernauth421314@direct.rochesterregional.org

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1982267472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 PORTLAND AVE STE 17",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212727",
            "telephone_number": "585-922-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Norwalk Hospital",
            "address_2": "34 Maple Street",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068563815",
            "country_code": "US",
            "telephone_number": "203-852-2025",
            "fax_number": "203-899-5224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGGERNAUTH",
        "first_name": "NIKITA",
        "middle_name": "SARIKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "71151",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "333413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.