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MICHAEL O'DONNELL PA-C
NPI 1174498539
Physician Assistant in New York, NY

Active since October 07, 2025PECOS Enrolled
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029(212) 241-1653(212) 289-6393 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 15, 2026, Oct 7, 2025 (2 updates tracked since 2025).

About Michael O'donnell Pa-c NPPES

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

MICHAEL O'DONNELL PA-C (NPI 1174498539) is an individual physician assistant in New York, New York, licensed in New York (034431) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174498539
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL O'DONNELLCredential: PA-C
Location Address1 GUSTAVE L LEVY PLNew York, NY 10029-6504
Mailing Address1468 Madison AveNew York, NY 10029-6508
Phone(212) 241-1653
Fax(212) 289-6393
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 7, 2025
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1174498539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 034431
Definition
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.
1 GUSTAVE L LEVY PL, New York, NY 10029
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Secondary Practice Location 1

Location 11468 Madison AveNew York, NY 10029-6508 · Phone (212) 241-6500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael O'donnell Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294213187
PECOS Enrollment IDI20260202001328
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

MRS. LAURA MANNING R.D., C.D.N.
Dietitian, Registered
1 GUSTAVE L LEVY PL, BOX 1625
NEW YORK, NY 10029
New York County (212) 241-9426
AMY JAYANT SANGHVI MD
Emergency Medicine
1 GUSTAVE L LEVY PL, BOX 1149
NEW YORK, NY 10029
New York County (212) 241-0748
MOUNT SINAI MEDICAL CENTER
General Acute Care Hospital
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (800) 637-4624
ANURADHA LALA-TRINDADE
Internal Medicine (Cardiovascular Disease)
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 987-3100
RENA DYMERSKY RPA-C, MS
Physician Assistant
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-6500
JENNY H CHUNG PHARMD, RN, FNP-BC
Nurse Practitioner (Family)
1 GUSTAVE L LEVY PL, TRANSPLANT INST. DEPARTMENT BOX 1104
NEW YORK, NY 10029
New York County (212) 659-8006
ERIKA JACOBSON RD,CDN
Dietitian, Registered
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (917) 241-5633
SARAH ALICIA REDA
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-6500

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 Michael O'donnell's NPI number?

The NPI number for Michael O'donnell is 1174498539. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Where is Michael O'donnell located?

Michael O'donnell practices at 1 Gustave L Levy Pl, New York, NY 10029. The listed phone number is (212) 241-1653.

What is Michael O'donnell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael O'donnell enrolled in Medicare?

Yes. Michael O'donnell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael O'donnell was last updated on January 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.