Krzysztof Tadeusz Lewandowski, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME70941 Issued in FL

Practice address

2101 Northside Dr
#601
Panama City, FL 32405-3685

Phone

(850) 747-9969

Fax

(850) 747-1052

NPI assigned

Aug 30, 2005

Last updated

Aug 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Aesculap Medical Clinic LLC

  dba aesculap medical clinic

  • Internal Medicine Physician
  • Panama City, FL
  • NPI 1770201063
  Medicare reassignment NPD Authorized official
• Krzysztof T Lewandowski MD

  • Internal Medicine Physician
  • Panama City, FL
  • NPI 1093105249
  NPD (past) Authorized official

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1164415717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NORTHSIDE DR",
            "address_2": "#601",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053685",
            "telephone_number": "850-215-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NORTHSIDE DR",
            "address_2": "#601",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053685",
            "telephone_number": "850-747-9969",
            "fax_number": "850-747-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDOWSKI",
        "first_name": "KRZYSZTOF",
        "middle_name": "TADEUSZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME70941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250359001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164415717",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Lenox
• Dan Earl Lenz, CRNA
• Leslie Jones Adkinson
• Whitney Jacqueline Leuenberger, ARNP
• Ross S Levine, M.D.
• Haley Martinez Lewis, D.O.
• Laura A Lewis, CRNA
• Marilyn Elizabeth Lewis, SPA
• Michael Jesse Lewis, IDC
• Tanya Lewis, LMHC

• Internal Medicine Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.