Individual provider Active NPI

Grzegorz Skiba, MD

  • Pain Medicine (Anesthesiology) Physician
  • Homestead, FL
National Provider Identifier
1083600944
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME126673 Issued in FL
Practice address
925 NE 30TH Ter Ste 206
Homestead, FL 33033-7614
Phone
(786) 475-7703
Fax
(855) 490-4044
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 22596 NE
Pain Medicine (Anesthesiology) Physician 207LP2900X ME126673 FL Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD00048913 WA

Addresses

Primary practice location

925 NE 30TH Ter Ste 206
Homestead, FL 33033-7614

Mailing address

201 S Biscayne Blvd Ste 710
Miami, FL 33131-4308
Phone (305) 428-7730

Other practice location 1

7000 SW 62nd Ave Ste 535
South Miami, FL 33143-4724
Phone (786) 268-4044

Other practice location 2

2500 E Hallandale Beach Blvd Ste 211
Hallandale Beach, FL 33009-4835
Phone (954) 457-0064

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
I20170804001532 FL Practitioner - Interventional Pain Management 6305821992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synovation Medical Group LLCGroup PAC ID 2860590098, 3 clinicians

Practice addresses (Care Compare)

925 NE 30TH Ter
Suite 206
Homestead, FL 33033-7614
Phone (786) 475-7703

Hospital & facility affiliations

  • Homestead Hospital Hospital, Homestead, FL, CCN 100125

Merit-based Incentive Payment System (MIPS)

Final score
92.96 of 100Reported as individual
Quality
65.91
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126673FLMDPain Medicine (Anesthesiology) Physician
22596NEMDPain Medicine (Anesthesiology) Physician
MD00048913WAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synovation Medical Group, LLC CurrentSince Mar 1, 2017 Accepting new patients
Northwest Radiologists Inc PS PastSince Oct 6, 2024 Accepting new patients
Med-Care, Inc PastSince Jan 1, 1990 Accepting new patients
Pain Centers of the Midlands LLC Pain Medicine PastSince Aug 1, 2010 Accepting new patients
Superior Pain Management PC PastSince Jul 21, 2024 Accepting new patients

Locations

2500 E Hallandale Beach Blvd
Ste 211
Hallandale Beach, FL 33009
Phone (954) 456-5533

925 NE 30th Ter
Ste 206
Homestead, FL 33033
Phone (305) 246-1265

7000 SW 62nd Ave
Ste 535
South Miami, FL 33143
Phone (786) 268-4044

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAHFCA/Endpoint/CAHFCA
  • FHIR API: https://api.platform.athenahealth.com/12153/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 1

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1083600944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S BISCAYNE BLVD STE 710",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331314308",
            "telephone_number": "305-428-7730",
            "fax_number": "786-558-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER STE 206",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337614",
            "telephone_number": "786-475-7703",
            "fax_number": "855-490-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 SW 62nd Ave Ste 535",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434724",
            "country_code": "US",
            "telephone_number": "786-268-4044",
            "fax_number": "855-490-4044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 E Hallandale Beach Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330094835",
            "country_code": "US",
            "telephone_number": "954-457-0064",
            "fax_number": "855-383-3430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKIBA",
        "first_name": "GRZEGORZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NE",
            "license": "22596",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME126673",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD00048913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.