MICHAELA ANNE O'DRISCOLL MD
NPI 1114505328
Emergency Medicine in Bronx, NY

Q: What is Michaela O'driscoll's NPI number?

The NPI number for Michaela O'driscoll is 1114505328. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Q: What is Michaela O'driscoll's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since March 30, 2021PECOS Enrolled

111 E 210TH ST, BRONX, NY 10467(718) 920-6700 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2025, Mar 30, 2021 (2 updates tracked since 2021).

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About Michaela Anne O'driscoll Md NPPES

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

MICHAELA ANNE O'DRISCOLL MD (NPI 1114505328) is an individual emergency medicine provider in Bronx, New York, licensed in New York (336447) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114505328

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameMICHAELA ANNE O'DRISCOLLCredential: MD

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address111 E 210th StBronx, NY 10467-2401

Phone(718) 920-6700

Sole ProprietorNo

Enumeration DateMarch 30, 2021

Last NPPES UpdateJune 19, 20252 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1114505328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NY · 336447

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

111 E 210TH ST, Bronx, NY 10467

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michaela Anne O'driscoll 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

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

Montefiore Medical Center

Same address

Anesthesiology

111 E 210TH ST
Bronx, NY 10467

Reassigned Medicare billing, New York enrollment
5,251 clinicians in this Medicare group

NPI 1063525152 (914) 378-6021

Physician Affiliate Group Of New York PC

5.5 mi

Dietitian, Registered

506 LENOX AVE
New York, NY 10037

Reassigned Medicare billing, New York enrollment
2,094 clinicians in this Medicare group

NPI 1013375526 (212) 939-2467

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 10467 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

HEATHER ROOT MD

Internal Medicine (Infectious Disease)