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CHAVONNE KOUASSI
NPI 1154772630
Pediatrics - Pediatric Gastroenterology in Rochester, NY

Active since June 27, 2016PECOS Enrolled
601 ELMWOOD AVE., ROCHESTER, NY 14642(585) 275-2647(585) 275-0707 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chavonne Kouassi NPPES

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

CHAVONNE KOUASSI (NPI 1154772630) is an individual pediatric gastroenterology provider in Rochester, New York, licensed in New York (304937) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154772630
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameCHAVONNE KOUASSI
Location Address601 ELMWOOD AVE.Rochester, NY 14642-0001
Mailing Address601 Elmwood Ave Box 635Rochester, NY 14642-0001 · (585) 275-2647
Phone(585) 275-2647
Fax(585) 275-0707
Sole ProprietorNo
Enumeration DateJune 27, 2016
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1154772630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in NY · 304937
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
601 ELMWOOD AVE., Rochester, NY 14642
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chavonne Kouassi 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Chavonne Kouassi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric G I Nutrition
Same address
Pediatric Gastroenterology
601 ELMWOOD AVE, BOX 635
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group
NPI 1710918305 (585) 275-7787
University Of Rochester
Same address
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1346285657 (585) 275-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. YICHUN LIN M.D.
Anesthesiology
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-2141
DR. BETHANY CORBIN M.D.
Internal Medicine
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-4912
BRIDGET PATRICIA SMITH
Physician Assistant (Medical)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-0992
NICHOLAS KLEITCH
Physician Assistant
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 274-4569
ZACHARY IAN EDWARDS CRNA
Nurse Anesthetist, Certified Registered
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-2141
DR. ERIN MICHELLE ARMENIA M.D.
Internal Medicine (Cardiovascular Disease)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-4912
NOMAN AFZAL MD
Psychiatry & Neurology (Psychiatry)
601 ELMWOOD AVE., BOX PSYCH
ROCHESTER, NY 14642
Monroe County (585) 275-4501
DR. JAMES BAI M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-1416

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 Chavonne Kouassi's NPI number?

The NPI number for Chavonne Kouassi is 1154772630. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Chavonne Kouassi located?

Chavonne Kouassi practices at 601 Elmwood Ave., Rochester, NY 14642. The listed phone number is (585) 275-2647.

What is Chavonne Kouassi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Chavonne Kouassi enrolled in Medicare?

Yes. Chavonne Kouassi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chavonne Kouassi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chavonne Kouassi reassigns Medicare benefits to 2 organizations: Pediatric G I Nutrition (Rochester, NY) and University Of Rochester (Rochester, NY). Each 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 Chavonne Kouassi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chavonne Kouassi was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.