PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY
PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1205940152, based in Rochester, NY. The organization lists 3 taxonomy classifications, with Pediatric Nephrology 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
- 5698767648
- Enrollment ID
- O20040331001002
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatric Nephrology covers
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. NUCC Health Care Provider Taxonomy, code 2080P0210X
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 | |
|---|---|---|---|---|
| 2080P0210X | Pediatric Nephrology Physician Pediatric Nephrology | — | — | primary |
| 2080P0201X | Pediatric Allergy/Immunology Physician Pediatric Allergy/Immunology | — | — | |
| 2080P0216X | Pediatric Rheumatology Physician Pediatric Rheumatology | — | — |
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 | 1205940152 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 18, 2006 |
| Last updated | Apr 28, 2025 |
| Status | Active |
| Practice address |
601 ELMWOOD AVE BOX 635 Rochester, NY 14642 (585) 275-7787 |
| Other identifiers |
03033272
· Medicaid (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 | 2 | 0 | 5 | 9 | 4 | 0 | 1 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 0 | 5 | 9 | 4 | 0 | 1 | 1 |
Sum = 48 · next multiple of 10 = 50 · 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.