Individual provider Active NPI

Krystol Johnston O'Rourke, M.D.

  • Family Medicine Physician
  • Geneseo, NY
National Provider Identifier
1811975287
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
332287 Issued in NY
Practice address
4302 Gateway Dr
Geneseo, NY 14454-9449
Phone
(585) 295-6760
NPI assigned
Jan 5, 2006
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0098-00925 NC
Family Medicine Physician 207Q00000X 332287 NY Primary

Addresses

Primary practice location

4302 Gateway Dr
Geneseo, NY 14454-9449

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

115 Kildaire Park Dr Ste 101
Cary, NC 27518-8144
Phone (919) 387-3180

Other names 1

  • Krystol Lynn Johnston Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address korourke11093@direct.UNC.nchie.net Direct
Direct Messaging Address korourke11093@direct.unc.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040729000525 NC Practitioner - Family Practice 8325018070 Reassigns benefits to 1 organization
I20250228000276 NY Practitioner - Family Practice 8325018070 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

4302 Gateway Dr
Geneseo, NY 14454-9449
Phone (585) 922-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0098-00925NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jan 6, 2025 Accepting new patients
Western New York Medical Practice P.C. Family Medicine CurrentSince Jan 6, 2025 Accepting new patients
Western New York Medical Practice P.C CurrentSince Jan 6, 2025 Accepting new patients
Rochester General Hospital CurrentSince Jan 6, 2025 Accepting new patients
Southpoint Family Medicine, PLLC Family Medicine CurrentSince Jun 7, 2017 Accepting new patients
Rochester General Hospital Family Medicine Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 6, 2025 Accepting new patients
United Memorial Medical Center Family Medicine CurrentSince Jan 6, 2025 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
United Memorial Medical Center Current Accepting new patients
Rex Hospital, Inc. Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

245 E NC Highway 54
Ste 205
Durham, NC 27713
Phone (919) 419-0242

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

4302 Gateway Dr
Geneseo, NY 14454
Phone (585) 295-5450

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

65 Genesee St
Rochester, NY 14611
Phone (585) 368-3531

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1811975287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 GATEWAY DR",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144549449",
            "telephone_number": "585-295-6760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Kildaire Park Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275188144",
            "country_code": "US",
            "telephone_number": "919-387-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "KRYSTOL",
        "middle_name": "JOHNSTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0098-00925",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "332287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "korourke11093@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "115 Kildaire Park Dr Ste 101",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275188144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "korourke11093@direct.unc.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "115 Kildaire Park Dr Ste 101",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275188144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRYSTOL",
            "last_name": "JOHNSTON",
            "middle_name": "LYNN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Geneseo, NY

Sources for this page

Verify at the official NPI Registry.