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JIMENA CUBILLOS MD
NPI 1003076753
Urology - Pediatric Urology in Rochester, NY

Active since June 16, 2008PECOS Enrolled
601 ELMWOOD AVE, BOX 656, ROCHESTER, NY 14642(585) 275-3342(585) 273-1070 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jimena Cubillos Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIMENA CUBILLOS MD (NPI 1003076753) is an individual pediatric urology provider in Rochester, New York, licensed in New York (236579) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003076753
Entity TypeIndividualFemale
Primary Taxonomy2088P0231X
Provider Legal NameJIMENA CUBILLOSCredential: MD
Location Address601 ELMWOOD AVE, BOX 656Rochester, NY 14642-0002
Mailing Address601 Elmwood Ave, Box 656Rochester, NY 14642-0001 · (585) 275-3342 · Fax (585) 273-1070
Phone(585) 275-3342
Fax(585) 273-1070
Sole ProprietorNo
Enumeration DateJune 16, 2008
Last NPPES UpdateJuly 6, 2023
✔ NPI 1003076753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in NY · 236579
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedUrologyTaxonomy 208800000X · License 236579 (NY)
601 ELMWOOD AVE, Rochester, NY 14642
Open in Google Maps ↗

Other Identifiers 1

Medicaid03123080NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jimena Cubillos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jimena Cubillos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Urology Associates
Same address
Urology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 62 clinicians in this Medicare group
NPI 1952357493 (585) 275-5282

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100
SARAH SIEGFRIED NP
Nurse Practitioner (Pediatrics)
601 ELMWOOD AVE, BOX 619-334
ROCHESTER, NY 14642
Monroe County (585) 472-5690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jimena Cubillos's NPI number?

The NPI number for Jimena Cubillos is 1003076753. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Jimena Cubillos located?

Jimena Cubillos practices at 601 Elmwood Ave Box 656, Rochester, NY 14642. The listed phone number is (585) 275-3342.

What is Jimena Cubillos's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Jimena Cubillos enrolled in Medicare?

Yes. Jimena Cubillos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jimena Cubillos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jimena Cubillos reassigns Medicare benefits to University Urology Associates (Rochester, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jimena Cubillos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jimena Cubillos was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.