NPIMap

Individual provider Active NPI

Krista Kowiak, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1225707995
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027175 Issued in NY
Practice address
400 Red Creek Dr Ste 240
Rochester, NY 14623-4281
Phone
(585) 486-0901
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027175 NY Primary

Addresses

Primary practice location

400 Red Creek Dr Ste 240
Rochester, NY 14623-4281

Mailing address

400 Red Creek Dr Ste 240
Rochester, NY 14623-4281
Phone (585) 486-0901

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KKOWIAK220256@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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929000842 NY Practitioner - Physician Assistant 1759788094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy - Immunology - Rheumatology Clinical GroupGroup PAC ID 8820074065, 27 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

400 Red Creek Dr
Rochester, NY 14623-4281
Phone (585) 486-0901

400 Red Creek Dr
Suite 110
Rochester, NY 14623-4273
Phone (585) 486-0930

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
027175NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Sep 27, 2021 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University of Rochester CurrentSince Sep 27, 2021 Accepting new patients

Locations

400 Red Creek Dr
Ste 240
Rochester, NY 14623
Phone (585) 271-0401

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

400 Red Creek Dr
Ste 110
Rochester, NY 14623
Phone (585) 486-0147

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1225707995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RED CREEK DR STE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234281",
            "telephone_number": "585-486-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RED CREEK DR STE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234281",
            "telephone_number": "585-486-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWIAK",
        "first_name": "KRISTA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2023-02-08",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KKOWIAK220256@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

Verify at the official NPI Registry.