Individual provider Active NPI

Julian J. Krawczyk, M.D.

  • Radiation Oncology Physician
  • Lafayette, LA
National Provider Identifier
1063433928
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
14027R Issued in LA
Practice address
4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800
Phone
(337) 769-8660
Fax
(337) 769-8661
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 14027R LA Primary

Addresses

Primary practice location

4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800

Mailing address

4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800
Phone (337) 769-8660

Other identifiers 5

IdentifierTypeStateIssuer
14027ROtherLASTATE MEDICAL LICENSE
4A144DX68OtherLAJULIAN KRAWCZYK MEDICARE PTAN EFFECTIVE 05/19/2012
5DX68OtherLAONCOLOGICS LLC MEDICARE PTAN EFFECTIVE 05/19/2012
PTAN 330560ZLACOtherLALINKED TO GROUP PTAN 381439 EFFECTIVE 10-31-14
1180131MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14027RLAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncologics, Inc. Radiation Oncology PastSince Jan 1, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jkrawczyk@epluscancercare.direct.varian.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.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1063433928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-769-8660",
            "fax_number": "337-769-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-769-8660",
            "fax_number": "337-769-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWCZYK",
        "first_name": "JULIAN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "14027R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "14027R",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JULIAN KRAWCZYK MEDICARE PTAN EFFECTIVE 05/19/2012",
            "identifier": "4A144DX68",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONCOLOGICS LLC MEDICARE PTAN EFFECTIVE 05/19/2012",
            "identifier": "5DX68",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINKED TO GROUP PTAN 381439 EFFECTIVE 10-31-14",
            "identifier": "PTAN 330560ZLAC",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1180131",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.