Active NPI
Karen C Drury, PA
- Physician Assistant
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 026211
- Practice address
- 4901 Lac de Ville Blvd BLDG D
Rochester, NY 14618-5647 - Phone
- (585) 275-5321
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10001042A | IN | |
| Physician Assistant | 363A00000X | 26211 | NY | |
| Physician Assistant | 363A00000X | 026211 | NY | Primary |
Addresses
Primary practice location
4901 Lac de Ville Blvd BLDG D
Rochester, NY 14618-5647
Mailing address
601 Elmwood Ave Box 665
Rochester, NY 14642-0001
Phone (585) 275-5321
Other practice location 1
1500 Provident Dr Ste B
Warsaw, IN 46580-3297
Phone (574) 269-8301
Other practice location 2
11136 Parkview Circle Dr
Fort Wayne, IN 46845-1730
Phone (260) 484-8551
Other practice location 3
7920 W Jefferson Blvd
Fort Wayne, IN 46804-4168
Phone (260) 484-8551
Other practice location 4
5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone (260) 484-8551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300006034 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kdrury232729@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | kdrury232729@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026211 | NY | MD | Pharmacist |
| 26211 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Orthopaedic Associates of Rochester | Current | Accepting new patients | |
| University Orthopaedic Associates of Rochester | Current | Accepting new patients |
Locations
4901 Lac de Ville Blvd
Bldg D
Rochester, NY 14618
Phone (585) 275-1395
601 Elmwood Ave
#665
Rochester, NY 14642
Phone (585) 275-5168
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Interoperability endpoints
- kdrury232729@direct.urmc.rochester.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Rochester, NY
- NPI 1346251758
-
- Durable Medical Equipment & Medical Supplies
- Dansville, NY
- NPI 1912720152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1114177870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE BOX 665",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 LAC DE VILLE BLVD BLDG D",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185647",
"telephone_number": "585-275-5321"
}
],
"practiceLocations": [
{
"address_1": "1500 Provident Dr Ste B",
"address_purpose": "LOCATION",
"city": "Warsaw",
"state": "IN",
"postal_code": "465803297",
"country_code": "US",
"telephone_number": "574-269-8301",
"fax_number": "574-269-8302",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11136 Parkview Circle Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451730",
"country_code": "US",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7920 W Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468044168",
"country_code": "US",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5050 N Clinton St",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468255886",
"country_code": "US",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRURY",
"first_name": "KAREN",
"middle_name": "C",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2023-07-07",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10001042A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "26211",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "026211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300006034",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kdrury232729@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kdrury232729@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.