Individual provider Active NPI

Arthur G Walczyk, MD

  • Gastroenterology Physician
  • Poughkeepsie, NY
National Provider Identifier
1003800723
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
174866 Issued in NY
Practice address
159 Barnegat Rd FL 2
Poughkeepsie, NY 12601-5401
Phone
(845) 452-9800
Fax
(845) 452-7691
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 174866 NY Primary

Addresses

Primary practice location

159 Barnegat Rd FL 2
Poughkeepsie, NY 12601-5401

Mailing address

111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 592-4915

Other practice location 1

1 Webster Ave
Suite 303
Poughkeepsie, NY 12601-1361
Phone (845) 452-9800

Other identifiers 2

IdentifierTypeStateIssuer
AW03V69910OtherNYEMPIRE BLUE CROSS BLUE SHIELD
01921237MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031125000356 NY Practitioner - Gastroenterology 0547164139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Medical Group, PLLCGroup PAC ID 6901104157, 38 clinicians

Practice addresses (Care Compare)

111 Clock Towe CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
  • Sharon Hospital Hospital, Sharon, CT, CCN 070004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy193
Upper gastrointestinal (GI) endoscopy for acid reflux190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
174866NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Medical Group, PLLC Gastroenterology CurrentSince Feb 9, 2016 Accepting new patients

Locations

111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915

400 Westage Business Ctr Dr
Ste 202
Fishkill, NY 12524
Phone (845) 896-0736

400 Westage Business Ctr Dr
#20
Fishkill, NY 12524
Phone (845) 896-0736

400 Westage Business Ctr Dr
Fishkill, NY 12524
Phone (845) 305-9155

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

400 Westage Business Ctr Dr
Ste 205
Fishkill, NY 12524
Phone (845) 231-0321

147 Lake St
Newburgh, NY 12550
Phone (845) 416-4325

159 Barnegat Rd
Fl 2
Poughkeepsie, NY 12601
Phone (845) 452-9800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAHCA
  • Direct secure messaging: awalczyk@direct.health-quest.org
  • Direct secure messaging: arthur.walczyk@nmgmd.eclinicaldirectplus.com

Organizations & group practices 1

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 4

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003800723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLOCK TOWER CMNS",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094055",
            "telephone_number": "845-592-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 BARNEGAT RD FL 2",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015401",
            "telephone_number": "845-452-9800",
            "fax_number": "845-452-7691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Webster Ave",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011361",
            "country_code": "US",
            "telephone_number": "845-452-9800",
            "fax_number": "845-452-7691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALCZYK",
        "first_name": "ARTHUR",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "174866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "AW03V69910",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01921237",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.