1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Pediatrics
  6. NPI Profile

PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY
NPI 1205940152
Pediatrics - Pediatric Nephrology in Rochester, NY

Active since August 18, 2006
601 ELMWOOD AVE, BOX 635, ROCHESTER, NY 14642(585) 275-7787 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2024, Nov 19, 2019, Mar 9, 2018 (3 updates tracked since 2018).

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

NPI1205940152
Entity TypeOrganization
Primary Taxonomy2080P0210X
Legal Business NamePEDIATRIC IMMUN-NEPHR-RHEUMOLOGY
Location Address601 ELMWOOD AVE, BOX 635Rochester, NY 14642-0001
Mailing Address601 Elmwood Ave, Box 635Rochester, NY 14642-0001 · (585) 275-7787
Phone(585) 275-7787
Organization SubpartNo
Authorized OfficialJill M HetterichAuthorized Official · (585) 756-4008
Enumeration DateAugust 18, 2006
Last NPPES UpdateApril 28, 20253 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1205940152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X
Also ListedPediatrics · Pediatric RheumatologyTaxonomy 2080P0216X
601 ELMWOOD AVE, Rochester, NY 14642
Open in Google Maps ↗

Other Identifiers 1

Medicaid03033272NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

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.

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 with the weekly NPPES data releases published by CMS.