WESTERN NEW YORK MEDICAL PRACTICE P.C.
NPI 1063790608
Family Medicine in Rochester, NY
About Western New York Medical Practice P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESTERN NEW YORK MEDICAL PRACTICE P.C. (NPI 1063790608) is a healthcare organization registered as a family medicine in Rochester, New York and active in the NPI registry since August 2011. The organization lists Paula Tinch, Svp- Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Identifiers 2
Group Practice 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)
Western New York Medical Practice P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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
1,033Medicare enrollment records show 1,033 clinicians reassign Medicare billing to Western New York Medical Practice P.C., which bills Medicare for the services they deliver. Of these, 9 practice at this address and 641 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 61
Nearest to this location (20)
See all 1,033Source: 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 Western New York Medical Practice P.C.'s NPI number?
The NPI number for Western New York Medical Practice P.C. is 1063790608. It was assigned to this organization in the NPPES registry on August 1, 2011.
Where is Western New York Medical Practice P.C. located?
Western New York Medical Practice P.C. is located at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-1318.
What is Western New York Medical Practice P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Western New York Medical Practice P.C. enrolled in Medicare?
Yes. Western New York Medical Practice P.C. is registered in the Medicare PECOS enrollment system.
When is Western New York Medical Practice P.C.'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 December 31, 2026. 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 Western New York Medical Practice P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,033 clinicians in 61 Medicare specialties reassign their Medicare billing to Western New York Medical Practice P.C.. 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 Nurse Practitioner (277), Family Practice (86) and Internal Medicine (75). Of these, 9 practice at this address and 641 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 Western New York Medical Practice P.C. was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Western New York Medical Practice P.c. · NPI 1063790608
Family Medicine organization in Rochester, New York. Organization record, active in the CMS NPPES registry since August 1, 2011.
## Identity
- **NPI:** 1063790608 (Entity type: Organization)
- **Enumerated:** August 1, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Paula Tinch, SVP- FINANCE
## Practice location
- **Address:** 1425 PORTLAND AVE, Rochester, NY 14621-3001
- **Phone:** (585) 922-1318
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1,033 clinicians in 61 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (277), Family Practice (86), Internal Medicine (75); 9 practice at this address and 641 within 10 miles; [full list](https://npiprofile.com/npi/1063790608/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2016
- **Other identifiers:** Medicare PIN J100058113 (NY); Medicaid 03406397 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1063790608) · Data from the CMS NPPES public registry.