MICHAEL JOSEPH MACIKOWSKI PA NPI 1174878086

NPI Information

  • NPI: 1174878086
  • Provider Name: MICHAEL JOSEPH MACIKOWSKI, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 370 E RIDGE RD
    ROCHESTER, NY
    ZIP 14621
  • Phone: (585) 922-0400

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NPI Details

Michael Joseph Macikowski, PA is a physician assistant in Rochester, NY with 13 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Michael Joseph Macikowski, PA NPI is 1174878086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

370 E RIDGE RD
ROCHESTER, NY
ZIP 14621-240
Phone: (585) 922-0400
Fax: (585) 922-0455

The NPI 1174878086 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 7/17/2012 and was last updated on 9/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant015733NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103406397/WNYMEDICAIDNEW YORK
203570596MEDICAIDNEW YORK
370005A/RGHMEDICARE PINNEW YORK
4J100058113/WNYMEDICARE PINNEW YORK
5J400076345MEDICARE PINNEW YORK
6J400130601MEDICARE PINNEW YORK
701131126/RGHMEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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