NPIMap

Individual provider Active NPI

Michele R Odrobina, M.D.

  • Obstetrics & Gynecology Physician
  • Medina, NY
National Provider Identifier
1902009954
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
243920-1 Issued in NY
Practice address
11225 Maple Ridge Rd
Medina, NY 14103-1845
Phone
(585) 798-2865
Fax
(585) 798-2867
NPI assigned
Jun 7, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 243920-1 NY Primary

Addresses

Primary practice location

11225 Maple Ridge Rd
Medina, NY 14103-1845

Mailing address

11225 Maple Ridge Rd
Medina, NY 14103-1845
Phone (585) 798-2865

Other identifiers 9

IdentifierTypeStateIssuer
0714265OtherNYINDEPENDANT HEALTH
P010243920OtherNYMUNROE PLAN
000529330001OtherNYBCBS OF WNY
1609873520OtherNYMEDICARE GROUP NPI
02892588MedicaidNY
P20243920OtherNYBLUE CHOICE
00028118501OtherNYUNIVERA
1902009954OtherNYMEDICARE INDIVIDUAL NPI
204676CKOtherNYPREFERRED CARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Modrobina@ummc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071112000381 NY Practitioner - Obstetrics/Gynecology 6103914973 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians

Practice addresses (Care Compare)

11225 Maple Ridge Rd
Medina, NY 14103-1845
Phone (585) 343-9676

127 N St
Batavia, NY 14020-1631

16 Bank St
Batavia, NY 14020-2250
Phone (585) 344-4800

229 Summit St
Batavia, NY 14020-1645

33 Chandler Ave
Batavia, NY 14020-1684
Phone (585) 343-9676

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243920-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Oct 15, 2020 Accepting new patients
Western New York Medical Practice P.C CurrentSince Oct 15, 2020 Accepting new patients
Jamestown Area Medical Associates, L.L.P. Obstetrics & Gynecology CurrentSince Jun 1, 1997 Accepting new patients
United Memorial Medical Center Obstetrics & Gynecology CurrentSince Dec 5, 2011 Accepting new patients
Great Lakes Physician Practice PC Obstetrics & Gynecology CurrentSince Feb 1, 2024 Accepting new patients
United Memorial Medical Center CurrentSince Dec 5, 2011 Accepting new patients
United Memorial Medical Center Obstetrics & Gynecology Past Accepting new patients
Upper Valley Pathology, PLLC Past Accepting new patients

Locations

127 North St
Batavia, NY 14020
Phone (585) 267-7510

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

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

11225 Maple Ridge Rd
Medina, NY 14103
Phone (585) 798-2865

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

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: modrobina@ummc.org
  • Direct secure messaging: modrobina214796@direct.rochesterregional.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 12

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902009954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 MAPLE RIDGE RD",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031845",
            "telephone_number": "585-798-2865",
            "fax_number": "585-798-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 MAPLE RIDGE RD",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031845",
            "telephone_number": "585-798-2865",
            "fax_number": "585-798-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODROBINA",
        "first_name": "MICHELE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "243920-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANT HEALTH",
            "identifier": "0714265",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUNROE PLAN",
            "identifier": "P010243920",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WNY",
            "identifier": "000529330001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI",
            "identifier": "1609873520",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02892588",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P20243920",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00028118501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NPI",
            "identifier": "1902009954",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "204676CK",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Modrobina@ummc.org",
            "affiliation": "N",
            "address_1": "11225 Maple Ridge Rd",
            "city": "Medina",
            "state": "NY",
            "country_code": "US",
            "postal_code": "141031845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medina, NY

Sources for this page

Verify at the official NPI Registry.