PEDIATRICS & ADOLESCENT MEDICINE GROUP
PEDIATRICS & ADOLESCENT MEDICINE GROUP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104861772, based in Rochester, NY. The organization lists 3 taxonomy classifications, with Pediatric Adolescent Medicine Physician recorded as primary.
Getting there
The practice address on file is 601 ELMWOOD AVE BOX 635, Rochester, NY 14642. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 9133169022
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Adolescent Medicine covers
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NUCC Health Care Provider Taxonomy, code 2080A0000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080A0000X | Pediatric Adolescent Medicine Physician Adolescent Medicine | — | — | primary |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | — | — | |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician Clinical Cardiac Electrophysiology | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1104861772 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 18, 2006 |
| Last updated | Apr 28, 2025 |
| Status | Active |
| Practice address |
601 ELMWOOD AVE BOX 635 Rochester, NY 14642 (585) 275-7787 Fax (585) 275-2352 |
| Other identifiers |
00485887
(NY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 8 | 6 | 1 | 7 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 7 | 6 | 2 | 7 | 5 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.