Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ABDUL MANNAN DO
NPI 1245971498
Internal Medicine in Rochester, NY

Q: 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.

Q: What is Abdul Mannan's specialty?

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

Q: 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 20 days 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.

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: August 16, 2026.

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

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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 is a graduate of Other (2022).

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

Phone(585) 922-4101

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

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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 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.

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.

GINA LAURINI

Student in an Organized Health Care Education/Training Program