1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Pediatrics
  6. NPI Profile

JONATHAN RYAN BURRIS M.D.
NPI 1649659087
Pediatrics in Rochester, NY

Active since May 19, 2015PECOS Enrolled
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-2575 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 23, 2018, Jul 19, 2018 (2 updates tracked since 2018).

About Jonathan Ryan Burris M.d. NPPES

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

JONATHAN RYAN BURRIS M.D. (NPI 1649659087) is an individual pediatrics provider in Rochester, New York, licensed in New York (292897) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1649659087
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJONATHAN RYAN BURRISCredential: M.D.
Location Address1425 PORTLAND AVERochester, NY 14621-3001
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-1304
Phone(585) 922-2575
Sole ProprietorNo
Enumeration DateMay 19, 2015
Last NPPES UpdateJune 28, 20232 updates tracked since enumeration
✔ NPI 1649659087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 292897
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 292897 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1425 PORTLAND AVE, Rochester, NY 14621
Open in Google Maps ↗

Secondary Practice Location 1

Location 1601 Elmwood Ave, Box 777RRochester, NY 14642-0001 · Phone (585) 275-4174

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Ryan Burris M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

DR. NIAZ AHMED D.D.S.
Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4000
DR. BRIAN JOHN THOMAS D.O.
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4159
LISA NICOLE FRONCZAK PA-C
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Monroe County (585) 922-4000
ANDREW ROTANDO DO
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-3469
ALEXANDER VAZZANO MD
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4638
AMY BODROG MD
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4020
NUMRA ASLAM BAJWA MD
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-5067
DR. PRAKASH UPRETI MD
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (295) 029-8769

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 Jonathan Burris's NPI number?

The NPI number for Jonathan Burris is 1649659087. It was assigned to this individual provider in the NPPES registry on May 19, 2015.

Where is Jonathan Burris located?

Jonathan Burris practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-2575.

What is Jonathan Burris's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jonathan Burris enrolled in Medicare?

Yes. Jonathan Burris is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Burris was last updated on June 28, 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.