Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel J Mackenzie, MD

Individual provider Pediatrics Physician · NPI 1093193120

Samuel J Mackenzie, MD is a Neurology in Rochester, New York. Qualified in 2015, 11 years ago. Practices with University of Rochester, a 962-clinician group and accepts Medicare assignment. Licensed in Michigan and New York.

Years since qualifying
11
Licensed in
MI, NY
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-5718
Phone: (585) 275-2559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuromuscular Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084N0008X · Licence 309805 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 309805 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 4301107318 (MI)

Record details

NPI number1093193120
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2015
Last updated in NPPESJuly 7, 2023
Certification dateAugust 10, 2021

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Of Rochester — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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