KAROL HYJEK MD
NPI 1043575830
Pediatrics in Rochester, NY

Active since July 09, 2012PECOS Enrolled
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-2575 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karol Hyjek Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAROL HYJEK MD (NPI 1043575830) is an individual pediatrics provider in Rochester, New York, licensed in New York (285076) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043575830
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKAROL HYJEKCredential: MD
Location Address1425 PORTLAND AVERochester, NY 14621-3001
Mailing Address14 Menlo PlRochester, NY 14620-2718 · (585) 270-9588
Sole ProprietorNo
Enumeration DateJuly 9, 2012
Last NPPES UpdateJune 20, 2016
✔ NPI 1043575830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 285076
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1425 PORTLAND AVE, Rochester, NY 14621

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karol Hyjek Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Karol Hyjek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Family Medicine
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karol Hyjek's NPI number?

The NPI number for Karol Hyjek is 1043575830. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Karol Hyjek located?

Karol Hyjek practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-2575.

What is Karol Hyjek's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Karol Hyjek enrolled in Medicare?

Yes. Karol Hyjek is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karol Hyjek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karol Hyjek reassigns Medicare benefits to 2 organizations: Rochester General Hospital (Rochester, NY) and Western New York Medical Practice P.C. (Rochester, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karol Hyjek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karol Hyjek was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.