1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Surgery
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS ULLMAN MD
NPI 1760913735
Surgery in Rochester, NY

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 14642(585) 275-2723 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2026, Dec 18, 2024, Mar 22, 2017 (3 updates tracked since 2017).

About Nicholas Ullman Md NPPES

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

NICHOLAS ULLMAN MD (NPI 1760913735) is an individual surgery provider in Rochester, New York, licensed in New York (299087) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Monica, and is a graduate of Univ Of Rochester School Of Dental Medicine (2021).

NPPES Registry Identity

NPI1760913735
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameNICHOLAS ULLMANCredential: MD
Location Address601 ELMWOOD AVE, BOX SURGRochester, NY 14642-0001
Mailing Address601 Elmwood Ave., Box SurgRochester, NY 14642-8410
Phone(585) 275-2723
Sole ProprietorNo
Medical School CMSUniv Of Rochester School Of Dental MedicineGraduated 2021
Enumeration DateMarch 22, 2017
Last NPPES UpdateSeptember 15, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1760913735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NY · 299087✔ Licensed in CA · A194213
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
601 ELMWOOD AVE, Rochester, NY 14642
Open in Google Maps ↗

Secondary Practice Location 1

Location 12121 Santa Monica BlvdSanta Monica, CA 90404-2303 · Phone (310) 315-6125 · Fax (310) 582-7185

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

Nicholas Ullman 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 ID3870837545
PECOS Enrollment IDI20240530001980
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 Nicholas Ullman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
2,238 mi
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1982863783 (661) 726-2279
Providence Saint Johns Medical Foundation
2,275 mi
Specialist
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 461 clinicians in this Medicare group
NPI 1770093734 (310) 582-7312

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

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 Nicholas Ullman's NPI number?

The NPI number for Nicholas Ullman is 1760913735. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Nicholas Ullman located?

Nicholas Ullman practices at 601 Elmwood Ave Box Surg, Rochester, NY 14642. The listed phone number is (585) 275-2723.

What is Nicholas Ullman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicholas Ullman enrolled in Medicare?

Yes. Nicholas Ullman 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 Nicholas Ullman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Ullman reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Lancaster, CA) and Providence Saint Johns Medical Foundation (Santa Monica, CA). 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 Nicholas Ullman'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 Nicholas Ullman was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.