MONROE DDSO CLINIC PITTSFORD
NPI 1063546778
Clinic/Center - Developmental Disabilities in Pittsford, NY
About Monroe Ddso Clinic Pittsford NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONROE DDSO CLINIC PITTSFORD (NPI 1063546778) is a healthcare organization registered as a developmental disabilities in Pittsford, New York and active in the NPI registry since March 2007. The organization lists Karla Smith, Director Of Central Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Monroe Ddso Clinic Pittsford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
393Medicare enrollment records show 393 clinicians reassign Medicare billing to Monroe Ddso Clinic Pittsford, which bills Medicare for the services they deliver. Of these, 24 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 27
Nearest to this location (20)
See all 393Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Monroe Ddso Clinic Pittsford's NPI number?
The NPI number for Monroe Ddso Clinic Pittsford is 1063546778. It was assigned to this organization in the NPPES registry on March 15, 2007.
Where is Monroe Ddso Clinic Pittsford located?
Monroe Ddso Clinic Pittsford is located at 1160 Pittsford Victor Rd Ste G, Pittsford, NY 14534. The listed phone number is (518) 402-4333.
What is Monroe Ddso Clinic Pittsford's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.
Is Monroe Ddso Clinic Pittsford enrolled in Medicare?
Yes. Monroe Ddso Clinic Pittsford is registered in the Medicare PECOS enrollment system.
When is Monroe Ddso Clinic Pittsford's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Monroe Ddso Clinic Pittsford?
According to the CMS Revalidation Reassignment List (October 2026 release), 393 clinicians in 27 Medicare specialties reassign their Medicare billing to Monroe Ddso Clinic Pittsford. A 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 the clinician's services. The largest specialties are Physical Therapist in Private Practice (63), Occupational Therapist in Private Practice (61) and Qualified Speech Language Pathologist (55). Of these, 24 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Monroe Ddso Clinic Pittsford was last updated on August 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Monroe Ddso Clinic Pittsford · NPI 1063546778
Developmental Disabilities organization in Pittsford, New York. Organization record, active in the CMS NPPES registry since March 15, 2007.
## Identity
- **NPI:** 1063546778 (Entity type: Organization)
- **Enumerated:** March 15, 2007
- **Primary specialty:** Clinic/Center - Developmental Disabilities · taxonomy 261QD1600X
- **Organization subpart:** No
- **Authorized official:** Karla Smith, DIRECTOR OF CENTRAL OPERATIONS
## Practice location
- **Address:** 1160 PITTSFORD VICTOR RD STE G, Pittsford, NY 14534-3825
- **Phone:** (518) 402-4333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 393 clinicians in 27 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (63), Occupational Therapist in Private Practice (61), Qualified Speech Language Pathologist (55); 24 practice within 10 miles; [full list](https://npiprofile.com/npi/1063546778/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2009
- **Other identifiers:** Medicaid 01410448 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1063546778) · Data from the CMS NPPES public registry.