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BENJAMIN TRACY
NPI 1245618735
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since May 15, 2015PECOS Enrolled
601 ELMWOOD AVE, BOX 664, ROCHESTER, NY 14642(585) 275-3274 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Benjamin Tracy NPPES

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

BENJAMIN TRACY (NPI 1245618735) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245618735
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN TRACY
Location Address601 ELMWOOD AVE, BOX 664Rochester, NY 14642-0001
Mailing Address601 Elmwood Ave, Box 664Rochester, NY 14642-0001 · (585) 275-3274
Phone(585) 275-3274
Sole ProprietorNo
Enumeration DateMay 15, 2015
Last NPPES UpdateApril 18, 2016
✔ NPI 1245618735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedRehabilitation HospitalTaxonomy 283X00000X
601 ELMWOOD AVE, Rochester, NY 14642
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Tracy 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.

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 Benjamin Tracy's NPI number?

The NPI number for Benjamin Tracy is 1245618735. It was assigned to this individual provider in the NPPES registry on May 15, 2015.

Where is Benjamin Tracy located?

Benjamin Tracy practices at 601 Elmwood Ave Box 664, Rochester, NY 14642. The listed phone number is (585) 275-3274.

What is Benjamin Tracy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Benjamin Tracy enrolled in Medicare?

Yes. Benjamin Tracy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Tracy was last updated on April 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.