Individual provider Active NPI

Kimberly Renee Ostrowski, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Clemson, SC
National Provider Identifier
1932399136
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
1534 Issued in SC
Practice address
885 Tiger Blvd Ste a
Clemson, SC 29631-1480
Phone
(864) 897-0390
Fax
(864) 897-0391
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 1534 SC Primary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 5101017338 MI

Addresses

Primary practice location

885 Tiger Blvd Ste a
Clemson, SC 29631-1480

Mailing address

PO Box 919
Pickens, SC 29671-0919
Phone (864) 897-8286

Other practice location 1

400 Nash Medical Arts Mall
Rocky Mount, NC 27804-1415
Phone (252) 962-5300

Other identifiers 1

IdentifierTypeStateIssuer
015343MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kostrowski1453974@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, ID, MN, NC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20120807000067 SC Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 6204082365 Reassigns benefits to 3 organizations
I20240422000760 ID Practitioner - Otolaryngology 6204082365
I20241203001845 MN Practitioner - Otolaryngology 6204082365 Reassigns benefits to 1 organization
I20251219001147 NC Practitioner - Otolaryngology 6204082365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Michigan State University College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

1233 34TH St NW
Bemidji, MN 56601-5112
Phone (218) 333-5522

1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000

1705 Anne St NW
Bemidji, MN 56601-6151
Phone (218) 333-5000

400 Nash Medical Arts Mall
Rocky Mount, NC 27804-1415
Phone (252) 962-5300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101017338MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cannon Memorial Hospital Current Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Oct 7, 2024 Accepting new patients
Anmed Health Current Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Unc Physicians Network LLC CurrentSince Nov 5, 2025 Accepting new patients
Cannon Memorial Hospital CurrentSince Jul 25, 2017 Accepting new patients
Anmed Health CurrentSince Jul 22, 2017 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Oct 7, 2024 Accepting new patients
Cannon Memorial Hospital CurrentSince Jul 25, 2017 Accepting new patients
Cannon Memorial Hospital CurrentSince Jul 25, 2017 Accepting new patients
Anmed Health CurrentSince Jul 22, 2017 Accepting new patients

Locations

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

400 Nash Medical Arts Mall
Rocky Mount, NC 27804
Phone (252) 443-1006

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

1655 E Greenville St
Anderson, SC 29621
Phone (803) 224-6375

885 Tiger Blvd
Ste A
Clemson, SC 29631
Phone (864) 897-0390

111 W Roper Rd
Easley, SC 29640
Phone (864) 897-8280

123 Wg Acker Dr
Pickens, SC 29671
Phone (864) 512-2465

Interoperability endpoints

  • Direct secure messaging: kostrowski1453974@direct.unc.nchie.net

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1932399136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296710919",
            "telephone_number": "864-897-8286",
            "fax_number": "864-878-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 TIGER BLVD STE A",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311480",
            "telephone_number": "864-897-0390",
            "fax_number": "864-897-0391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Nash Medical Arts Mall",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278041415",
            "country_code": "US",
            "telephone_number": "252-962-5300",
            "fax_number": "252-962-5309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTROWSKI",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "SC",
            "license": "1534",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "5101017338",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015343",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kostrowski1453974@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "400 Nash Medical Arts Mall",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278041415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

Verify at the official NPI Registry.