LUCAS POLITO PA-C
NPI 1124547823
Physician Assistant - Medical in Rochester, NY

Active since September 13, 2017PECOS EnrolledAccepts Medicare Assignment
1425 PORTLAND AVE # 143, ROCHESTER, NY 14621(585) 922-3458(585) 266-5363 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 5, 2026, Oct 9, 2025, Sep 13, 2017 (3 updates tracked since 2017).

About Lucas Polito Pa-c NPPES

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

LUCAS POLITO PA-C (NPI 1124547823) is an individual medical provider in Rochester, New York, licensed in New York (021301) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124547823
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameLUCAS POLITOCredential: PA-C
Location Address1425 PORTLAND AVE # 143Rochester, NY 14621-3001
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-5462 · Fax (585) 922-1011
Fax(585) 266-5363
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 13, 2017
Last NPPES UpdateJune 17, 20263 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1124547823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 021301
1425 PORTLAND AVE # 143, Rochester, NY 14621

Secondary Practice Locations 2

Location 11724 E Ridge RdRochester, NY 14622-2157 · Phone (585) 467-7007
Location 21425 Portland Ave # 220Rochester, NY 14621-3095 · Phone (585) 922-4371 · Fax (585) 922-7485

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lucas Polito Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032485347
PECOS Enrollment IDI20171031002341
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

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 Lucas Polito's NPI number?

The NPI number for Lucas Polito is 1124547823. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Where is Lucas Polito located?

Lucas Polito practices at 1425 Portland Ave # 143, Rochester, NY 14621. The listed phone number is (585) 922-3458.

What is Lucas Polito's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lucas Polito enrolled in Medicare?

Yes. Lucas Polito is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lucas Polito affiliated with any hospitals?

According to CMS data, Lucas Polito is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Lucas Polito was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.