Individual provider Active NPI

Barbara Lidia Mols-Kowalczewski, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Norfolk, VA
National Provider Identifier
1649321977
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101269176 Issued in VA
Practice address
850 Kempsville Rd Ste 100E
Norfolk, VA 23502-3920
Phone
(757) 261-5744
Fax
(757) 261-0321
NPI assigned
Jan 15, 2007
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101269176 VA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 194168 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD457936 PA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101269176 VA Primary

Addresses

Primary practice location

850 Kempsville Rd Ste 100E
Norfolk, VA 23502-3920

Mailing address

850 Kempsville Rd Ste 100E
Norfolk, VA 23502-3920
Phone (757) 261-5744

Other practice location 1

3229 E Genesee St
Joslin Center
Syracuse, NY 13214-2016
Phone (315) 464-5726

Other practice location 2

105 Desmond St
Sayre, PA 18840-2001
Phone (570) 887-2832

Other identifiers 1

IdentifierTypeStateIssuer
01460159MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bmolskowalczewski89434@direct-guthrie.org Direct
Direct Messaging Address bmolskowalczewski89434@direct-guthrie.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050628000561 NY Practitioner - Endocrinology 4183669351 Reassigns benefits to 2 organizations
I20160802002016 PA Practitioner - Endocrinology 4183669351 Reassigns benefits to 1 organization
I20220729000099 VA Practitioner - Endocrinology 4183669351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

850 Kempsville Rd
Suite 100E
Norfolk, VA 23502-3920
Phone (757) 261-5744

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in Internal Medicine CurrentSince Jan 2, 2009 Accepting new patients
Guthrie Medical Group, P.C. Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2016 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 1, 2016 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Jan 2, 2009 Accepting new patients
Guthrie Medical Group, P.C. Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Aug 15, 2022 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

3229 E Genesee St
Syracuse, NY 13214
Phone (315) 446-7501

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

105 Desmond St
Sayre, PA 18840
Phone (570) 887-2832

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

850 Kempsville Rd
Ste 100E
Norfolk, VA 23502
Phone (757) 261-5744

Interoperability endpoints

  • Direct secure messaging: bmolskowalczewski772033@direct.sentara.net
  • Direct secure messaging: bmolskowalczewski89434@direct-guthrie.org

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1649321977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KEMPSVILLE RD STE 100E",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-261-5744",
            "fax_number": "757-261-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KEMPSVILLE RD STE 100E",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-261-5744",
            "fax_number": "757-261-0321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3229 E Genesee St",
            "address_2": "Joslin Center",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132142016",
            "country_code": "US",
            "telephone_number": "315-464-5726",
            "fax_number": "315-464-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Desmond St",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "PA",
            "postal_code": "188402001",
            "country_code": "US",
            "telephone_number": "570-887-2832",
            "fax_number": "570-887-3035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLS-KOWALCZEWSKI",
        "first_name": "BARBARA",
        "middle_name": "LIDIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101269176",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "194168",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD457936",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101269176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01460159",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmolskowalczewski89434@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "105 Desmond St",
            "city": "Sayre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "188402001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmolskowalczewski89434@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "105 Desmond St",
            "city": "Sayre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "188402001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.