Theodore Vineyard, NP
NPI 1689954091 · Adult Health Nurse Practitioner · Rochester, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Vineyard, NP is a Adult Health Nurse Practitioner provider in Rochester, NY (NPI 1689954091).
Provider details
- NPI number
- 1689954091
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 305756 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2011-08-17
- Last updated
- 2023-07-06
Frequently asked questions
- What is Theodore Vineyard's NPI number?
- Theodore Vineyard's National Provider Identifier (NPI) is 1689954091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Vineyard's specialty?
- Theodore Vineyard is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theodore Vineyard located?
- Theodore Vineyard's practice location on file with NPPES is 601 Elmwood Ave, Rochester, NY 14642-0001.
- What is Theodore Vineyard's phone number?
- The practice phone number listed in the NPPES registry for Theodore Vineyard is (585) 275-2113.
- Does Theodore Vineyard accept Medicare?
- Theodore Vineyard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Vineyard's NPI active?
- Yes — Theodore Vineyard's NPI (1689954091) is active in the NPPES registry as of the last update on 2023-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.