Wojciech Poluha, MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

MP0462933A Issued in MA

Practice address

107 Lincoln St
Worcester, MA 01605-2401

Phone

(508) 799-9000

Fax

(508) 453-3107

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Internal Medicine

Education

University of Massachusetts Medical School, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lianne IncGroup PAC ID 4587889365, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adcare Hospital of Worcester Inc Hospital, Worcester, MA, CCN 220062
• Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
• St Vincent Hospital Hospital, Worcester, MA, CCN 220176

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/adcare-921c4d2d

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.

• Lianne Inc

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1457773541
  Medicare reassignment Care Compare group NPD
• Adcare Hospital of Worcester, Inc.

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1134281280
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adcare Hospital of Worcester, Inc.

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1134281280
  Care Compare affiliation
• Umass Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1831151455
  Care Compare affiliation
• VHS Acquisition Subsidiary Number 7 Inc

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1538131214
  Care Compare affiliation

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1164409231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052401",
            "telephone_number": "508-799-9000",
            "fax_number": "508-453-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052401",
            "telephone_number": "508-799-9000",
            "fax_number": "508-453-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLUHA",
        "first_name": "WOJCIECH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MA",
            "license": "MP0462933A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0176303",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Pollack, D.M.D.
• Coreen Esme Pollard-Waldron X, RN
• Maegan Marie Pollard, MD
• Rebecca Pollinger
• Jennifer Pollock, LMHC
• Winifred Pomaa
• Cecilia A Pomar-Nichols
• Kaleigh Pompei
• Caridad Ponce Martinez, MD
• Orkidya Ponce

• Addiction Medicine (Internal Medicine) Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Addiction Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.