Individual provider Active NPI

Karen Marie Odrzywolski, M.D.

  • Neurology Physician
  • Auburn, NY
National Provider Identifier
1184898595
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
261776 Issued in NY
Practice address
77 Nelson St Ste 120
D/B/a Neurology Services of Auburn
Auburn, NY 13021-1941
Phone
(315) 252-7434
Fax
(315) 253-8104
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 261776 NY Primary

Addresses

Primary practice location

77 Nelson St Ste 120
D/B/a Neurology Services of Auburn
Auburn, NY 13021-1941

Mailing address

17 Lansing Street
Amms, PC / Credentialing Office
Auburn, NY 13021-1941
Phone (315) 255-7438

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNY

Other names 1

  • Dr. Karen Jones Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kodrzywolski13606@direct.urmc.rochester.edu Direct
Direct Messaging Address kodrzywolski13606@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130821000160 NY Practitioner - Neurology 4284877390 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
261776NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester Current Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Apr 1, 2019 Accepting new patients
University of Rochester CurrentSince Jan 3, 2014 Accepting new patients
Geneva General Hospital, Inc CurrentSince Jan 1, 2021 Accepting new patients
Geneva General Hospital CurrentSince Jan 1, 2021 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Jan 1, 2021 Accepting new patients
St Josephs Hospital Health Center CurrentSince Jul 1, 2019 Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
U of R Neurology Department Neurology CurrentSince Jan 3, 2014 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Jan 1, 2021 Accepting new patients
North Medical PC Current Accepting new patients
University of Rochester CurrentSince Jan 3, 2014 Accepting new patients
St Josephs Medical PC CurrentSince Aug 21, 2018 Accepting new patients
St Joseph'S Hospital Health Center CurrentSince Jul 1, 2019 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Apr 1, 2019 Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

196 North St
Geneva, NY 14456
Phone (315) 787-4156

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1184898595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING STREET",
            "address_2": "AMMS, PC / CREDENTIALING OFFICE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211941",
            "telephone_number": "315-255-7438",
            "fax_number": "315-255-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NELSON ST STE 120",
            "address_2": "D/B/A NEUROLOGY SERVICES OF AUBURN",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211941",
            "telephone_number": "315-252-7434",
            "fax_number": "315-253-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODRZYWOLSKI",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "261776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kodrzywolski13606@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": "kodrzywolski13606@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": [
        {
            "first_name": "KAREN",
            "last_name": "JONES",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.