Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mallory Manning

Individual provider Physician Assistant · NPI 1609246784

Mallory Manning is a Physician Assistant in Rochester, New York. Qualified in 2015, 11 years ago. Practices with Internal Medicine Group, a 166-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

601 Elmwood Ave # 619-HMD
Rochester, NY 14642-0001
Phone: (585) 275-6366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4900 Broad Rd, Syracuse, NY 13215-2265 — (315) 492-5011

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 019150 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 19150 (NY)

Record details

NPI number1609246784
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 1, 2015
Last updated in NPPESJuly 3, 2023
Certification dateJanuary 27, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Internal Medicine Group — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients17
Services billed 19 a service is one billed item, such as a visit, a test or a procedure
Average patient age62

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Internal Medicine Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 166 clinicians in the practice; 12 are shown here.

Other providers in Rochester