Individual provider Active NPI

Ola Mscichowski, MD

  • Family Medicine Physician
  • Penfield, NY
National Provider Identifier
1811248784
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
288328 Issued in NY
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

Updated by the provider on Oct 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171219001123 NY Practitioner - Family Practice 6204135189 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice PC CurrentSince Oct 29, 2017 Accepting new patients
Rochester General Hospital CurrentSince Oct 29, 2017 Accepting new patients
Western New York Medical Practice P.C. Family Medicine CurrentSince Oct 29, 2017 Accepting new patients
Rochester General Hospital CurrentSince Oct 29, 2017 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.

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

Verify at the official NPI Registry.