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MITCHELL BREITENBACH
NPI 1063117430
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since April 04, 2023PECOS Enrolled
601 ELMWOOD AVENUE BOX SURG, ROCHESTER, NY 14642(585) 275-2723 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mitchell Breitenbach NPPES

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

MITCHELL BREITENBACH (NPI 1063117430) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063117430
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMITCHELL BREITENBACH
Location Address601 ELMWOOD AVENUE BOX SURGRochester, NY 14642-0001
Mailing Address12 Mill Valley RdPittsford, NY 14534-3904 · (585) 310-9802
Phone(585) 275-2723
Sole ProprietorNo
Enumeration DateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1063117430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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 AVENUE BOX SURG, Rochester, NY 14642
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell Breitenbach 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.

DANEAL PORTMAN MD
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723
DR. MARIO MANSOUR MATABELE MD
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723
RACHEL ELISABETH SCHAFER MD, MPH
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723
BENJAMIN GARRETT GERTSEN MD
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723
ANNA WEISS MD
Surgery (Surgical Oncology)
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 487-1000
DR. MICHAEL ANTONIO VELLA MD
Surgery (Trauma Surgery)
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-1984
DR. BRITTANY ROCQUE MD
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (802) 309-2994
ROBERT VAUGHN FRETER
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723

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 Mitchell Breitenbach's NPI number?

The NPI number for Mitchell Breitenbach is 1063117430. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Mitchell Breitenbach located?

Mitchell Breitenbach practices at 601 Elmwood Avenue Box Surg, Rochester, NY 14642. The listed phone number is (585) 275-2723.

What is Mitchell Breitenbach's specialty?

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

Is Mitchell Breitenbach enrolled in Medicare?

Yes. Mitchell Breitenbach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mitchell Breitenbach was last updated on April 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.