PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY
NPI 1205940152
Pediatrics - Pediatric Nephrology in Rochester, NY
About Pediatric Immun-nephr-rheumology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY (NPI 1205940152) is a healthcare organization registered as a pediatric nephrology in Rochester, New York and active in the NPI registry since August 2006. The organization lists Jill M Hetterich, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pediatric Immun-nephr-rheumology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
35Medicare enrollment records show 35 clinicians reassign Medicare billing to Pediatric Immun-Nephr-Rheumology, which bills Medicare for the services they deliver. Of these, 25 practice at this address and 33 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 35Source: 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 Pediatric Immun-Nephr-Rheumology's NPI number?
The NPI number for Pediatric Immun-Nephr-Rheumology is 1205940152. It was assigned to this organization in the NPPES registry on August 18, 2006.
Where is Pediatric Immun-Nephr-Rheumology located?
Pediatric Immun-Nephr-Rheumology is located at 601 Elmwood Ave Box 635, Rochester, NY 14642. The listed phone number is (585) 275-7787.
What is Pediatric Immun-Nephr-Rheumology's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.
Is Pediatric Immun-Nephr-Rheumology enrolled in Medicare?
Yes. Pediatric Immun-Nephr-Rheumology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pediatric Immun-Nephr-Rheumology?
According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 5 Medicare specialties reassign their Medicare billing to Pediatric Immun-Nephr-Rheumology. 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 Pediatric Medicine (16), Nurse Practitioner (13) and Allergy/Immunology (4). Of these, 25 practice at this address and 33 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pediatric Immun-Nephr-Rheumology accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatric Immun-Nephr-Rheumology as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pediatric Immun-Nephr-Rheumology was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Pediatric Immun-Nephr-Rheumology · NPI 1205940152
Pediatric Nephrology organization in Rochester, New York. Organization record, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1205940152 (Entity type: Organization)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Pediatrics - Pediatric Nephrology · taxonomy 2080P0210X
- **Organization subpart:** No
- **Authorized official:** Jill Hetterich, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 601 ELMWOOD AVE, BOX 635, Rochester, NY 14642-0001
- **Phone:** (585) 275-7787
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 35 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (16), Nurse Practitioner (13), Allergy/Immunology (4); 25 practice at this address and 33 within 10 miles; [full list](https://npiprofile.com/npi/1205940152/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2025
- **Other identifiers:** Medicaid 03033272 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1205940152) · Data from the CMS NPPES public registry.