Individual provider Active NPI

A Kirk Bodary, MD

  • Anesthesiology Physician
  • Rochester, NY
National Provider Identifier
1205885076
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
177508 Issued in NY
Practice address
1065 Senator Keating Blvd
Rochester, NY 14618-2600
Phone
(585) 256-1330
NPI assigned
May 9, 2006
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 177508 NY Primary

Addresses

Primary practice location

1065 Senator Keating Blvd
Rochester, NY 14618-2600

Mailing address

PO Box 2001
East Syracuse, NY 13057-4501
Phone (315) 449-0513

Other practice location 1

1065 Senator Keating Blvd
Westfall Surgery Center
Rochester, NY 14618
Phone (585) 256-1330

Other practice location 2

1240 Jefferson Rd # C
Rochester, NY 14623-3104
Phone (844) 748-7242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13188OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Rochester, P.C. Anesthesiology CurrentSince May 1, 2019 Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

111 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2022

10 Hagen Dr
Ste 110
Rochester, NY 14625
Phone (585) 267-7855

1065 Senator Keating Blvd
Rochester, NY 14618
Phone (585) 256-1330

130 Allens Creek Rd
Ste 200
Rochester, NY 14618
Phone (585) 410-6545

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1205885076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2001",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574501",
            "telephone_number": "315-449-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 SENATOR KEATING BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182600",
            "telephone_number": "585-256-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1065 Senator Keating Blvd",
            "address_2": "Westfall Surgery Center",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14618",
            "country_code": "US",
            "telephone_number": "585-256-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 Jefferson Rd # C",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146233104",
            "country_code": "US",
            "telephone_number": "844-748-7242",
            "fax_number": "844-586-2669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODARY",
        "first_name": "A",
        "middle_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "177508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.