Active NPI
Ola Mscichowski, MD
- Family Medicine Physician
- Penfield, NY
National Provider Identifier
1811248784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 288328
- Practice address
- 2200 Penfield Rd
Penfield, NY 14526-1711 - Phone
- (585) 922-0060
- NPI assigned
- Oct 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 288328 | NY | Primary |
Addresses
Primary practice location
2200 Penfield Rd
Penfield, NY 14526-1711
Mailing address
2200 Penfield Rd
Penfield, NY 14526-1711
Phone (585) 922-0060
Other practice location 1
410 W 10th St
Rm 1001
Indianapolis, IN 46202-3010
Phone (317) 274-8812
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice PC | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Family Medicine | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Family Medicine | Current | Accepting new patients |
Locations
2200 Penfield Rd
Penfield, NY 14526
Phone (585) 377-6170
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Neurological Surgery Physician
- Rochester, NY
- NPI 1780049957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507507200000",
"number": "1811248784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 PENFIELD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261711",
"telephone_number": "585-922-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 PENFIELD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261711",
"telephone_number": "585-922-0060"
}
],
"practiceLocations": [
{
"address_1": "410 W 10th St",
"address_2": "Rm 1001",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462023010",
"country_code": "US",
"telephone_number": "317-274-8812",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MSCICHOWSKI",
"first_name": "OLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-02",
"last_updated": "2017-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "288328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.