GRACE SUNGUN RO MD
NPI 1407436744
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since April 12, 2021PECOS Enrolled
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 756-4800 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grace Sungun Ro Md NPPES

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

GRACE SUNGUN RO MD (NPI 1407436744) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2021).

NPPES Registry Identity

NPI1407436744
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGRACE SUNGUN ROCredential: MD
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address610 Elmwood AvenueRochester, NY 14642-0001 · (585) 756-4800
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2021
Enumeration DateApril 12, 2021
NPPES CertifiedApril 12, 2021
NPI 1407436744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
601 ELMWOOD AVE, Rochester, NY 14642

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Grace Sungun Ro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527460500
PECOS Enrollment IDI20260612003799
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.

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

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 Grace Ro's NPI number?

The NPI number for Grace Ro is 1407436744. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Grace Ro located?

Grace Ro practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 756-4800.

What is Grace Ro's specialty?

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

Is Grace Ro enrolled in Medicare?

Yes. Grace Ro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Ro was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.