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BLOSSOM ROAD MEDICINE, PLLC
NPI 1376948893
Internal Medicine in Rochester, NY

Active since October 27, 2014
780 BLOSSOM RD, ROCHESTER, NY 14610(585) 482-1141(585) 270-4153 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blossom Road Medicine, Pllc NPPES

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

BLOSSOM ROAD MEDICINE, PLLC (NPI 1376948893) is a healthcare organization registered as an internal medicine in Rochester, New York and active in the NPI registry since October 2014. The organization lists Sandra Boehlert, Physician, as its authorized official.

NPPES Registry Identity

NPI1376948893
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLOSSOM ROAD MEDICINE, PLLC
Location Address780 BLOSSOM RDRochester, NY 14610-1914
Mailing Address780 Blossom RdRochester, NY 14610-1914 · (585) 482-1141 · Fax (585) 270-4153
Phone(585) 482-1141
Fax(585) 270-4153
Organization SubpartNo
Authorized OfficialSandra BoehlertPhysician · (585) 482-1141
Enumeration DateOctober 27, 2014
Last NPPES UpdateJune 14, 2023
NPPES CertifiedJune 14, 2023
✔ NPI 1376948893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
780 BLOSSOM RD, Rochester, NY 14610
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Other Identifiers 1

Other1457343972NY · Npi 1

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blossom Road Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blossom Road Medicine, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sandra Boehlert, MD
Internal Medicine
NPI 1457343972
14789 ROUTE 31
Albion, NY 14411
(585) 589-2273
✔ PECOS32 mi

Source: 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 Blossom Road Medicine, PLLC's NPI number?

The NPI number for Blossom Road Medicine, PLLC is 1376948893. It was assigned to this organization in the NPPES registry on October 27, 2014.

Where is Blossom Road Medicine, PLLC located?

Blossom Road Medicine, PLLC is located at 780 Blossom Rd, Rochester, NY 14610. The listed phone number is (585) 482-1141.

What is Blossom Road Medicine, PLLC's specialty?

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

Is Blossom Road Medicine, PLLC enrolled in Medicare?

Yes. Blossom Road Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blossom Road Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Blossom Road Medicine, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blossom Road Medicine, PLLC was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.