PEDIATRIC PLASTIC SURGERY OF THE UNIVERSITY OF ROCHESTER
NPI 1609024462
Surgery - Plastic and Reconstructive Surgery in Rochester, NY

Active since September 05, 2008
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 758-7671 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2022, Mar 9, 2018 (2 updates tracked since 2018).

About Pediatric Plastic Surgery Of The University Of Rochester NPPES

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

PEDIATRIC PLASTIC SURGERY OF THE UNIVERSITY OF ROCHESTER (NPI 1609024462) is a healthcare organization registered as a plastic and reconstructive surgery in Rochester, New York and active in the NPI registry since September 2008. The organization lists Jill M Hetterich, Senior Director Of Finance Urmfg, as its authorized official.

NPPES Registry Identity

NPI1609024462
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NamePEDIATRIC PLASTIC SURGERY OF THE UNIVERSITY OF ROCHESTER
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address601 Elmwood Ave Box 635Rochester, NY 14642-0001 · (585) 784-9749
Organization SubpartNo
Authorized OfficialJill M HetterichSenior Director Of Finance Urmfg · (585) 756-4008
Enumeration DateSeptember 5, 2008
Last NPPES UpdateAugust 9, 20222 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
✔ NPI 1609024462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
601 ELMWOOD AVE, Rochester, NY 14642

Other Identifiers 1

Medicaid03071987NY

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)

Pediatric Plastic Surgery Of The University Of Rochester is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pediatric Plastic Surgery Of The University Of Rochester, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Plastic and Reconstructive Surgery
NPI 1245433614
601 ELMWOOD AVE
Rochester, NY 14642
(585) 275-1000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487091617
601 ELMWOOD AVE BOX 661
Rochester, NY 14642
(585) 275-1000
✔ PECOSSame address
Nurse Practitioner
NPI 1811347347
601 ELMWOOD AVE
Rochester, NY 14642
(585) 275-1000
✔ PECOS✔ Accepts Medicare0.1 mi
Plastic and Reconstructive Surgery
NPI 1174940225
975 JOHNSON FY RD NE STE 100
Atlanta, GA 30342
(404) 785-7792
✔ PECOS✔ Accepts Medicare732 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 Pediatric Plastic Surgery Of The University Of Rochester's NPI number?

The NPI number for Pediatric Plastic Surgery Of The University Of Rochester is 1609024462. It was assigned to this organization in the NPPES registry on September 5, 2008.

Where is Pediatric Plastic Surgery Of The University Of Rochester located?

Pediatric Plastic Surgery Of The University Of Rochester is located at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 758-7671.

What is Pediatric Plastic Surgery Of The University Of Rochester's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Pediatric Plastic Surgery Of The University Of Rochester enrolled in Medicare?

Yes. Pediatric Plastic Surgery Of The University Of Rochester is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Plastic Surgery Of The University Of Rochester?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Pediatric Plastic Surgery Of The University Of Rochester, in Nurse Practitioner and Plastic and Reconstructive Surgery. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pediatric Plastic Surgery Of The University Of Rochester was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.