DR. HEIDI V CONNOLLY MD
NPI 1538196274
Pediatrics - Pediatric Critical Care Medicine in Rochester, NY

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
601 ELMWOOD AVE, BOX 635, ROCHESTER, NY 14642(585) 275-8138(585) 275-2352 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Heidi V Connolly Md NPPES

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

DR. HEIDI V CONNOLLY MD (NPI 1538196274) is an individual pediatric critical care medicine provider in Rochester, New York, licensed in New York (199625) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1988).

NPPES Registry Identity

NPI1538196274
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. HEIDI V CONNOLLYCredential: MD
Location Address601 ELMWOOD AVE, BOX 635Rochester, NY 14642-0001
Mailing Address601 Elmwood Ave, Box 635Rochester, NY 14642-0001 · (585) 275-8138 · Fax (585) 275-2352
Fax(585) 275-2352
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1988
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 3, 2023
✔ NPI 1538196274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NY · 199625
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X · License 199625 (NY)
Also ListedPediatrics · Sleep MedicineTaxonomy 2080S0012X · License 199625 (NY)
601 ELMWOOD AVE, Rochester, NY 14642

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

Dr. Heidi V Connolly Md 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 ID8123116696
PECOS Enrollment IDI20071116000212
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

2

Medicare enrollment records show Heidi Connolly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
Pediatric Pulmonology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 61 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

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 Heidi Connolly's NPI number?

The NPI number for Heidi Connolly is 1538196274. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Heidi Connolly located?

Heidi Connolly practices at 601 Elmwood Ave Box 635, Rochester, NY 14642. The listed phone number is (585) 275-8138.

What is Heidi Connolly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Heidi Connolly enrolled in Medicare?

Yes. Heidi Connolly 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 Heidi Connolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Connolly reassigns Medicare benefits to 2 organizations: University Of Rochester (Rochester, NY) and Pediatric Allergy Of Pulmonary (Rochester, 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 Heidi Connolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heidi Connolly was last updated on July 3, 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.