Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMIE EMANUEL MD
NPI 1023753969
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since May 04, 2022PECOS Enrolled
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-2964 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2026, Jul 20, 2023, May 4, 2022 (3 updates tracked since 2022).

About Jamie Emanuel Md NPPES

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

JAMIE EMANUEL MD (NPI 1023753969) is an individual student in an organized health care education/training program in Rochester, New York, licensed in Washington (ML61297469) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023753969
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAMIE EMANUELCredential: MD
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address601 Elmwood AveRochester, NY 14642-0001 · (585) 275-2964 · Fax (585) 275-2964
Sole ProprietorNo
Enumeration DateMay 4, 2022
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
NPI 1023753969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in WA · ML61297469
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
601 ELMWOOD AVE, Rochester, NY 14642

Other Identifiers 1

Medicaid2214520WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jamie Emanuel 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.

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.

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

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 Jamie Emanuel's NPI number?

The NPI number for Jamie Emanuel is 1023753969. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Jamie Emanuel located?

Jamie Emanuel practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-2964.

What is Jamie Emanuel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jamie Emanuel enrolled in Medicare?

Yes. Jamie Emanuel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jamie Emanuel was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.