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PODIATRY AFFILIATE OF ROCHESTER PLLC
NPI 1710490263
Podiatrist - Foot & Ankle Surgery in Rochester, NY

Active since November 07, 2017
1500 PORTLAND AVENUE, PODIATRY/MEDICAL SUITE, ROCHESTER, NY 14621(585) 642-6100(585) 642-6111 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 1, 2022, Oct 1, 2021, Nov 7, 2017 (3 updates tracked since 2017).

About Podiatry Affiliate Of Rochester Pllc NPPES

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

PODIATRY AFFILIATE OF ROCHESTER PLLC (NPI 1710490263) is a healthcare organization registered as a foot & ankle surgery in Rochester, New York and active in the NPI registry since November 2017. The organization lists John Ellie, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1710490263
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePODIATRY AFFILIATE OF ROCHESTER PLLC
Location Address1500 PORTLAND AVENUE, PODIATRY/MEDICAL SUITERochester, NY 14621-3065
Mailing Address1500 Portland Avenue, Podiatry SuiteRochester, NY 14621-3065 · (585) 642-6100 · Fax (585) 642-6111
Phone(585) 642-6100
Fax(585) 642-6111
Organization SubpartNo
Authorized OfficialJohn EllieCeo/president · (585) 642-6100
Enumeration DateNovember 7, 2017
Last NPPES UpdateMarch 14, 20223 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1710490263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
1500 PORTLAND AVENUE, Rochester, NY 14621
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Other Identifiers 1

Medicaid05448155NY

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)

Podiatry Affiliate Of Rochester Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Podiatry Affiliate Of Rochester PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Ellie, D.P.M.
Podiatry
NPI 1427311455
1500 PORTLAND AVE PODIATRY SUITE
Rochester, NY 14621
(585) 642-6100
✔ PECOS✔ Accepts MedicareSame address

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 Podiatry Affiliate Of Rochester PLLC's NPI number?

The NPI number for Podiatry Affiliate Of Rochester PLLC is 1710490263. It was assigned to this organization in the NPPES registry on November 7, 2017.

Where is Podiatry Affiliate Of Rochester PLLC located?

Podiatry Affiliate Of Rochester PLLC is located at 1500 Portland Avenue Podiatry/Medical Suite, Rochester, NY 14621. The listed phone number is (585) 642-6100.

What is Podiatry Affiliate Of Rochester PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Podiatry Affiliate Of Rochester PLLC enrolled in Medicare?

Yes. Podiatry Affiliate Of Rochester PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Podiatry Affiliate Of Rochester PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Podiatry Affiliate Of Rochester PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Podiatry Affiliate Of Rochester PLLC was last updated on March 14, 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.