OrganizationActiveAccepts Medicare
Irondequoit Internal Medicine
NPI 1245375708 · Specialist · Rochester, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1245375708
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Larisa Khishchenko, Owner(585) 338-2530
- License
- 180528 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
485 Titus Ave Ste H
Rochester, NY 14617-3544
Phone: (585) 338-2530
Fax: (585) 338-7304
Street-level locationGet directions
Mailing address
485 Titus Ave Ste H
Rochester, NY 14617-3544
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.