Individual provider Active NPI

Ryszard Skulski, M.D.

  • Cardiovascular Disease Physician
  • Rancho Mirage, CA
National Provider Identifier
1083611685
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A77010 Issued in CA
Practice address
39000 Bob Hope Dr
Suite K-302
Rancho Mirage, CA 92270-3221
Phone
(760) 773-0700
Fax
(760) 773-0767
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A77010 CA Primary

Addresses

Primary practice location

39000 Bob Hope Dr
Suite K-302
Rancho Mirage, CA 92270-3221

Mailing address

PO Box 2011
Rancho Mirage, CA 92270-1054
Phone (760) 773-0700

Other identifiers 1

IdentifierTypeStateIssuer
00A770100MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040525001256 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 2466443080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Medical Group IncGroup PAC ID 8123930427, 71 clinicians

Practice addresses (Care Compare)

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 773-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting44
Pacemaker insertion or repair21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. CurrentSince Apr 14, 2019 Accepting new patients
Skulski MD PC CurrentSince Jan 1, 2022 Accepting new patients
Medstar Harbor Hospital Physicians LLC Past Accepting new patients
Crain Medical P a Cardiovascular Disease Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Emergency Associates Corporation Past Accepting new patients
Harbor Hospital Past Accepting new patients
Baltimore Washington Medical Center Inc. Past Accepting new patients
Union Hospital of Cecil County Past Accepting new patients

Locations

72605 Highway 111
Palm Desert, CA 92260
Phone (760) 404-0135

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

39000 Bob Hope Dr
Ste 302
Rancho Mirage, CA 92270
Phone (760) 773-0700

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39000 Bob Hope Dr
Ste K302
Rancho Mirage, CA 92270
Phone (760) 773-0700

Interoperability endpoints

  • Direct secure messaging: ryszard.skulski.p2@direct.mydohc.nextgenshare.com

Organizations & group practices 9

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1083611685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2011",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701054",
            "telephone_number": "760-773-0700",
            "fax_number": "760-773-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "SUITE K-302",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-773-0700",
            "fax_number": "760-773-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKULSKI",
        "first_name": "RYSZARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A77010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A770100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.