TAYLOR J INDIVERO PA
NPI 1700136777
Physician Assistant - Surgical in Rochester, NY

Q: What is Taylor Indivero's NPI number?

The NPI number for Taylor Indivero is 1700136777. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Q: What is Taylor Indivero's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Taylor Indivero was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 17, 2012PECOS EnrolledAccepts Medicare Assignment

1415 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-2906(585) 922-2951 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Taylor J Indivero Pa NPPES

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

TAYLOR J INDIVERO PA (NPI 1700136777) is an individual surgical provider in Rochester, New York and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1700136777

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameTAYLOR J INDIVEROCredential: PA

Location Address1415 PORTLAND AVERochester, NY 14621-3038

Mailing Address1415 Portland AveRochester, NY 14621-3038 · (585) 922-2906 · Fax (585) 922-2951

Phone(585) 922-2906

Fax(585) 922-2951

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 17, 2012

Last NPPES UpdateMarch 4, 2014

✔ NPI 1700136777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

1415 PORTLAND AVE, Rochester, NY 14621

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Other Identifiers 1

Medicaid03726107NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Taylor J Indivero Pa 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 ID5294976668

PECOS Enrollment IDI20130726000601

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

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. LAURA J VON DOENHOFF M.D.

Internal Medicine (Cardiovascular Disease)

1415 PORTLAND AVE, SUITE 555
ROCHESTER, NY 14621

Monroe County (585) 336-5050

MS. SARA ELIZABETH DOE P.A.

Physician Assistant (Surgical)

1415 PORTLAND AVE, DEPARTMENT OF SURGERY
ROCHESTER, NY 14621

Monroe County (585) 922-4715

DR. ABDALLAH YOUSSEF BITAR MD/PHD

Internal Medicine (Cardiovascular Disease)

1415 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 442-5320

DENETRA MORRIS

Social Worker (Clinical)

1415 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-3653

DR. MEREDITH J CRICCO M.D.

Internal Medicine (Geriatric Medicine)

1415 PORTLAND AVE, GERIATRIC CONSULTATIVE SERVICES
ROCHESTER, NY 14621

Monroe County (585) 922-0390

NORTHSIDE ECHOCARDIOGRAPHY, PC

Specialist

1415 PORTLAND AVE, SUITE 555
ROCHESTER, NY 14621

Monroe County (585) 336-5050

LARISSA CHAPKOVICH R.D.

Dietitian, Registered

1415 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-4200

CHRISTOPHER JESSE RICHARDSON D.O.

Surgery

1415 PORTLAND AVE, SUITE 245
ROCHESTER, NY 14621

Monroe County (585) 922-4891

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 Taylor Indivero's NPI number?

The NPI number for Taylor Indivero is 1700136777. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Where is Taylor Indivero located?

Taylor Indivero practices at 1415 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-2906.

What is Taylor Indivero's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Taylor Indivero enrolled in Medicare?

Yes. Taylor Indivero 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.

Is Taylor Indivero affiliated with any hospitals?

According to CMS data, Taylor Indivero is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Taylor Indivero was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.