Individual provider Active NPI

Toni Alexis Sawczak, M.D.

  • Internal Medicine Physician
  • Jensen Beach, FL
National Provider Identifier
1154349546
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0045921 Issued in FL
Practice address
2050 NE Dixie Hwy
Jensen Beach, FL 34957-6441
Phone
(772) 334-2444
Fax
(772) 334-4122
NPI assigned
Jul 17, 2006
Last updated
Oct 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0045921 FL Primary

Addresses

Primary practice location

2050 NE Dixie Hwy
Jensen Beach, FL 34957-6441

Mailing address

2050 NE Dixie Hwy
Jensen Beach, FL 34957-6441
Phone (772) 334-2444

Other identifiers 1

IdentifierTypeStateIssuer
372256200MedicaidFL

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
I20111129000148 FL Practitioner - Internal Medicine 5991988446 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0045921FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michele F Libman MD PA CurrentSince Oct 21, 2020 Accepting new patients

Locations

1050 SE Monterey Rd
Ste 101
Stuart, FL 34994
Phone (772) 419-0560

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1154349546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 NE DIXIE HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349576441",
            "telephone_number": "772-334-2444",
            "fax_number": "772-334-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 NE DIXIE HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349576441",
            "telephone_number": "772-334-2444",
            "fax_number": "772-334-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWCZAK",
        "first_name": "TONI",
        "middle_name": "ALEXIS",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0045921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372256200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

Verify at the official NPI Registry.