Individual provider Active NPI

Karolina Lis-Hyjek, MD

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1801151691
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
286515 Issued in NY
Practice address
268 Castlebar Rd
Rochester, NY 14610-2914
Phone
(585) 298-6766
Fax
(585) 522-0200
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine Physician 202D00000X 286515 NY
Family Medicine Physician 207Q00000X 286515 NY Primary

Addresses

Primary practice location

268 Castlebar Rd
Rochester, NY 14610-2914

Mailing address

268 Castlebar Rd
Rochester, NY 14610-2914
Phone (585) 298-6766

Other names 1

  • Dr. Karolina Lis Former name

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
I20170112001634 NY Practitioner - Family Practice 8820370521 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
286515NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Nov 27, 2016 Accepting new patients
University of Rochester CurrentSince Nov 27, 2016 Accepting new patients

Locations

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

454 E Broad St
Rochester, NY 14607
Phone (585) 276-7640

155 Corporate Woods
Ste 100
Rochester, NY 14623
Phone (585) 784-7864

454 E Broad St
#100
Rochester, NY 14607
Phone (585) 276-7640

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.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1801151691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 CASTLEBAR RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102914",
            "telephone_number": "585-298-6766",
            "fax_number": "585-522-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 CASTLEBAR RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102914",
            "telephone_number": "585-298-6766",
            "fax_number": "585-522-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIS-HYJEK",
        "first_name": "KAROLINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NY",
            "license": "286515",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "286515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAROLINA",
            "last_name": "LIS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.