Individual provider Active NPI

Peter Matthew Szymoniak, M.D.

  • Orthopaedic Surgery Physician
  • Milton, FL
National Provider Identifier
1073510095
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME44109 Issued in FL
Practice address
6007 Berryhill Rd
Milton, FL 32570-4008
Phone
(850) 626-1461
Fax
(850) 626-3161
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0044109 FL
Orthopaedic Surgery Physician 207X00000X ME44109 FL Primary

Addresses

Primary practice location

6007 Berryhill Rd
Milton, FL 32570-4008

Mailing address

6007 Berryhill Rd
Milton, FL 32570-4008
Phone (850) 626-1461

Other identifiers 4

IdentifierTypeStateIssuer
009310670OtherALALACAID
068633600MedicaidFL
009310670MedicaidAL
57095OtherFLBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peter.szymoniak@srmcfl.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101102001552 FL Practitioner - Orthopedic Surgery 5698883726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0044109FLMDSpecialist
ME44109FLMDOrthopaedic Surgery Physician

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1073510095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704008",
            "telephone_number": "850-626-1461",
            "fax_number": "850-626-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704008",
            "telephone_number": "850-626-1461",
            "fax_number": "850-626-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMONIAK",
        "first_name": "PETER",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0044109",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME44109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALACAID",
            "identifier": "009310670",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068633600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009310670",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "57095",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.szymoniak@srmcfl.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "6007 Berryhill Rd",
            "city": "Milton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325704008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.