Michael J Brodowski, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

138718 Issued in NY

Practice address

5000 Brittonfield Pkwy
Suite A100
East Syracuse, NY 13057-9226

Phone

(315) 449-3800

Fax

(315) 449-1246

NPI assigned

Oct 28, 2005

Last updated

May 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal MedicineAlso: Hospitalist

Education

State University of Ny Upstate Medical University, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians

Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rochester Regional Health Hospice Care Hospice, Rochester, NY, CCN 331506
• Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
• The Commons on St Anthony, a S N F & Short T R C Nursing home, Auburn, NY, CCN 335382
• Conesus Lake Nursing Home, LLC Nursing home, Livonia, NY, CCN 335069
• The Cottages at Garden Grove, a Skilled NRSG Comm Nursing home, Cicero, NY, CCN 335340
• St. John's Health Care Corporation Nursing home, Rochester, NY, CCN 335008
• Newark Manor Nursing Home Inc Nursing home, Newark, NY, CCN 335219

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Plaza Nursing Home Company Inc.

  dba Rosewood Heights Health Center

  • Skilled Nursing Facility
  • Syracuse, NY
  • NPI 1124013115

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Mobile Physician Services PLLC

  • Family Medicine Physician
  • Buffalo, NY
  • NPI 1194132415
  Medicare reassignment Care Compare group NPD
• Physician Mobile Medical Care PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1518765502
  Medicare reassignment Care Compare group NPD
• Crouse Health Hospital Inc

  • Hospitalist Physician
  • Syracuse, NY
  • NPI 1841340205
  Medicare reassignment NPD
• New York General Medical Services PC

  • Hospitalist Physician
  • New York, NY
  • NPI 1700315538
  Medicare reassignment NPD
• St. Camillus Residential Health Care Facility

  • Skilled Nursing Facility
  • Syracuse, NY
  • NPI 1659396943
  Medicare reassignment NPD
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  NY

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  NY

  Medicare reassignment NPD
• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743
  NPD
• Pathology Associates of Syracuse, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Syracuse, NY
  • NPI 1629061791
  NPD
• St. Camillus Residential Health Care Facility

  • Multi-Specialty Clinic/Center
  • Syracuse, NY
  • NPI 1942341532
  NPD
• Auburn Senior Services, Inc.

  • Skilled Nursing Facility
  • Auburn, NY
  • NPI 1740610575
  NPD (past)
• Avon Nursing Home, LLC

  dba Avon Nursing Home

  • Skilled Nursing Facility
  • Avon, NY
  • NPI 1427053727
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Auburn Senior Services, Inc.

  • Skilled Nursing Facility
  • Auburn, NY
  • NPI 1740610575

  Nursing home

  Care Compare affiliation
• Conesus Lake Nursing Home, LLC

  dba Conesus Lake Nursing Home

  • Skilled Nursing Facility
  • Livonia, NY
  • NPI 1669477873

  Nursing home

  Care Compare affiliation
• Genesee Region Home Care Association Inc.

  dba Rochester Regional Health Hospice Care

  • Community Based Hospice Care Agency
  • Rochester, NY
  • NPI 1013921675
  Care Compare affiliation
• Plaza Nursing Home Company Inc.

  dba Rosewood Heights Health Center

  • Skilled Nursing Facility
  • Syracuse, NY
  • NPI 1124013115

  Nursing home

  Care Compare affiliation
• St Johns Health Care Corporation

  dba St. John's Home

  • Skilled Nursing Facility
  • Rochester, NY
  • NPI 1164425971

  Nursing home

  Care Compare affiliation
• University of Rochester

  dba Strong Memorial Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1346285657
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1669126090
  Care Compare affiliation

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1902896012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST",
            "address_2": "SUITE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042859",
            "telephone_number": "315-449-3800",
            "fax_number": "315-449-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY",
            "address_2": "SUITE A100",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579226",
            "telephone_number": "315-449-3800",
            "fax_number": "315-449-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "138718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Branches of Growth Mental Health Counseling, PLLC
• Norah C.W. Breindel
• Caitlin Breslin, MS, OTR/L
• Barbara J Brigham
• Ryan Bristow, DTP
• Rebecca A Brooks, RPH
• Alexandra Brown, CCC-SLP
• Harold J Brown, MD
• Marlaina Jeanelle Brown, PA-C
• Shane Keith Brown, LCSW

• Internal Medicine Physician in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.