MEDICARE: DR. NIKITA SARIKA JAGGERNAUTH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	71151	CT
2	207R00000X	Internal Medicine Physician	333413	NY

General Provider Information

NPI Number	:	1982267472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIKITA SARIKA JAGGERNAUTH MD

Provider Business Mailing Address
First Line	:	100 KINGS HWY S
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-5504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1299 PORTLAND AVE STE 17
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14621-2727
Country	:	US
Telephone Number	:	585-922-4003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2019
Last Update Date	:	08/12/2025

Similar Medicare Providers

1104775741 — CHAROL RIOS
Practice Location Address:

1299 PORTLAND AVE STE 1
ROCHESTER, NY
14621-2727

Practice Phone: 585-210-2267
Practice Fax:

1386662591 — VINCENT CHANG M.D.
Practice Location Address:

1299 PORTLAND AVE STE 3
ROCHESTER, NY
14621-2727

Practice Phone: 585-922-5520
Practice Fax: 585-922-5526

1821252040 — PORTLAND PHYSICIAN P.C.
Practice Location Address:

1299 PORTLAND AVE STE 7
ROCHESTER, NY
14621-2727

Practice Phone: 585-467-9790
Practice Fax: 585-467-9798

1487148540 — DREW TYLER ANTOLIK PT
Practice Location Address:

1299 PORTLAND AVE STE 10
ROCHESTER, NY
14621-2727

Practice Phone: 585-286-9200
Practice Fax: 585-286-9203

1447814553 — DR. GILBERT FRANK HERNANDEZ
Practice Location Address:

1299 PORTLAND AVE STE 4
ROCHESTER, NY
14621-2727

Practice Phone: 585-342-7902
Practice Fax:

1184234627 — SARAH JOSEFINA SMITH, DDS
Practice Location Address:

1299 PORTLAND AVE STE 4
ROCHESTER, NY
14621-2727

Practice Phone: 585-342-7902
Practice Fax:

Directions to “ DR. NIKITA SARIKA JAGGERNAUTH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.