ABDUL MANNAN DO
NPI 1245971498
Internal Medicine in Rochester, NY

Active since April 03, 2022PECOS EnrolledAccepts Medicare Assignment
1455 E RIDGE RD, ROCHESTER, NY 14621(585) 922-4101(585) 922-5822 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 31, 2026, Mar 30, 2026, Nov 13, 2025 (3 updates tracked since 2025).

About Abdul Mannan Do NPPES

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

ABDUL MANNAN DO (NPI 1245971498) is an individual internal medicine provider in Rochester, New York, licensed in New York (339159) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1245971498
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameABDUL MANNANCredential: DO
Location Address1455 E RIDGE RDRochester, NY 14621-2006
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · Fax (585) 922-1011
Fax(585) 922-5822
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 3, 2022
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1245971498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 339159
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 339159 (NY)
1455 E RIDGE RD, Rochester, NY 14621

Secondary Practice Locations 3

Location 11425 Portland AveRochester, NY 14621-3011 · Phone (585) 922-5067 · Fax (585) 922-2908
Location 2127 North StBatavia, NY 14020-1631 · Phone (585) 344-7269 · Fax (585) 344-7270
Location 31555 Long Pond RdRochester, NY 14626-4164 · Phone (585) 723-7000 · Fax (585) 723-7871

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abdul Mannan Do 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 ID3577058692
PECOS Enrollment IDI20251216004346
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

4

Medicare enrollment records show Abdul Mannan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Family Medicine
127 NORTH ST
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
Internal Medicine
1020 YOUNGS RD
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 157 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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.

Student in an Organized Health Care Education/Training Program
1455 E RIDGE RD
ROCHESTER, NY 14621
Nurse Practitioner (Adult Health)
1455 E RIDGE RD
ROCHESTER, NY 14621
Dentist
1455 E RIDGE RD
ROCHESTER, NY 14621
Nurse Practitioner (Family)
1455 E RIDGE RD
ROCHESTER, NY 14621
Family Medicine
1455 E RIDGE RD
ROCHESTER, NY 14621
Student in an Organized Health Care Education/Training Program
1455 E RIDGE RD
ROCHESTER, NY 14621
Counselor (Mental Health)
1455 E RIDGE RD
ROCHESTER, NY 14621
Pharmacist (Ambulatory Care)
1455 E RIDGE RD
ROCHESTER, NY 14621

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 Abdul Mannan's NPI number?

The NPI number for Abdul Mannan is 1245971498. It was assigned to this individual provider in the NPPES registry on April 3, 2022.

Where is Abdul Mannan located?

Abdul Mannan practices at 1455 E Ridge Rd, Rochester, NY 14621. The listed phone number is (585) 922-4101.

What is Abdul Mannan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abdul Mannan enrolled in Medicare?

Yes. Abdul Mannan 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.

Which organizations bill Medicare for Abdul Mannan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdul Mannan reassigns Medicare benefits to 4 organizations: The Unity Hospital Of Rochester (Rochester, NY), Rochester General Hospital (Rochester, NY), United Memorial Medical Center (Batavia, NY) and Academic Medicine Services, Inc. (Williamsville, 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 Abdul Mannan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Abdul Mannan affiliated with any hospitals?

According to CMS data, Abdul Mannan is affiliated with Kaleida Health and Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Abdul Mannan was last updated on July 31, 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.