Individual provider Active NPI

Michael T Oszczakiewicz, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Beaumont, TX
National Provider Identifier
1134239387
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G5455 Issued in TX
Practice address
3070 College St Ste 100
Beaumont, TX 77701-4688
Phone
(409) 212-6280
Fax
(092) 126-2864
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X G5455 TX Primary

Addresses

Primary practice location

3070 College St Ste 100
Beaumont, TX 77701-4688

Mailing address

3070 College St Ste 100
Beaumont, TX 77701-4688
Phone (409) 212-6280

Other identifiers 1

IdentifierTypeStateIssuer
780001170MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101117000700 TX Practitioner - Thoracic SurgeryPractitioner - General Surgery 0042362972 Reassigns benefits to 2 organizations
I20210707003947 LA Practitioner - Thoracic SurgeryPractitioner - General Surgery 0042362972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
University of Texas Medical School at Houston, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

3070 College St
Suite 100
Beaumont, TX 77701-4688
Phone (409) 212-6280

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)26
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Network CurrentSince Jul 22, 2024 Accepting new patients
East Texas Surgical Associates, PA CurrentSince Feb 1, 2018 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Baptist Hospitals of Southeast Texas Past Accepting new patients

Locations

3070 College St
Ste 120
Beaumont, TX 77701
Phone (409) 835-2300

3070 College St
Ste 100
Beaumont, TX 77701
Phone (409) 212-6280

350 Pine St
Ste 1415
Beaumont, TX 77701
Phone (409) 924-8600

3070 College St
Ste 100B
Beaumont, TX 77701
Phone (409) 212-7110

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

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 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1134239387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST STE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014688",
            "telephone_number": "409-212-6280",
            "fax_number": "409-212-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST STE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014688",
            "telephone_number": "409-212-6280",
            "fax_number": "092-126-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSZCZAKIEWICZ",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "G5455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780001170",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.