Pediatrics & Adolescent Medicine Group
NPI 1104861772 · Pediatric Adolescent Medicine Physician · Rochester, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatrics & Adolescent Medicine Group is a Pediatric Adolescent Medicine Physician organization in Rochester, NY (NPI 1104861772).
Provider details
- NPI number
- 1104861772
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Hetterich, Senior Director of Finance Urmfg(585) 756-4008
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-18
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Frequently asked questions
- What is Pediatrics & Adolescent Medicine Group's NPI number?
- Pediatrics & Adolescent Medicine Group's National Provider Identifier (NPI) is 1104861772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatrics & Adolescent Medicine Group?
- Pediatrics & Adolescent Medicine Group is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatrics & Adolescent Medicine Group located?
- Pediatrics & Adolescent Medicine Group's practice location on file with NPPES is 601 Elmwood Ave, Rochester, NY 14642-0001.
- What is Pediatrics & Adolescent Medicine Group's phone number?
- The practice phone number listed in the NPPES registry for Pediatrics & Adolescent Medicine Group is (585) 275-7787.
- Does Pediatrics & Adolescent Medicine Group accept Medicare?
- Pediatrics & Adolescent Medicine Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatrics & Adolescent Medicine Group?
- The authorized official listed on Pediatrics & Adolescent Medicine Group's NPPES record is Jill Hetterich, Senior Director of Finance Urmfg. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatrics & Adolescent Medicine Group's NPI active?
- Yes — Pediatrics & Adolescent Medicine Group's NPI (1104861772) is active in the NPPES registry as of the last update on 2025-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.