Individual provider Active NPI

Lukasz Michael Czerwien, DC

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1043090442
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14721 Issued in FL
Practice address
1528 Lakeview Rd Ste 150
Clearwater, FL 33756-3694
Phone
(727) 408-5222
NPI assigned
Oct 3, 2023
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14721 FL Primary

Addresses

Primary practice location

1528 Lakeview Rd Ste 150
Clearwater, FL 33756-3694

Mailing address

470 3Rd St S Unit 810
St Petersburg, FL 33701-4647
Phone (727) 424-0174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231027002985 FL Practitioner - Chiropractic 7911353859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8122 118TH Ave
Largo, FL 33773-5012
Phone (727) 202-6963

Merit-based Incentive Payment System (MIPS)

Final score
58.53 of 100Reported as group
Quality
0
Promoting interoperability
95
Improvement activities
40
Cost
65.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14721FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical of Florida LLC Chiropractor CurrentSince Oct 9, 2023 Accepting new patients
Advanced Medical of Florida LLC PastSince Oct 8, 2023 Accepting new patients

Locations

1528 Lakeview Rd
Ste 150
Clearwater, FL 33756
Phone (727) 408-5222

8122 118th Ave
Largo, FL 33773
Phone (727) 202-6963

Interoperability endpoints

  • Direct secure messaging: lukasz.czerwien.1@12284.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24544/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1043090442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 3RD ST S UNIT 810",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014647",
            "telephone_number": "727-424-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 LAKEVIEW RD STE 150",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563694",
            "telephone_number": "727-408-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZERWIEN",
        "first_name": "LUKASZ",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.