Individual provider Active NPI

Agnieszka Dombrowska, D.O.

  • Surgery Physician
  • Palm Springs, FL
National Provider Identifier
1164860466
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS20565 Issued in FL
Practice address
4685 S Congress Ave Ste 201
Palm Springs, FL 33461-4761
Phone
(561) 548-8600
Fax
(561) 548-8650
NPI assigned
Jun 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS20565 FL Primary

Addresses

Primary practice location

4685 S Congress Ave Ste 201
Palm Springs, FL 33461-4761

Mailing address

4685 S Congress Ave Ste 201
Palm Springs, FL 33461-4761
Phone (561) 548-8600

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
I20231121001056 FL Practitioner - General Surgery 5597064873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach General Surgery LLCGroup PAC ID 1456455021, 69 clinicians

Practice addresses (Care Compare)

4685 S Congress Ave
Suite 201
Lake Worth, FL 33461-4761
Phone (561) 548-8600

Hospital & facility affiliations

  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach General Surgery LLC Surgery CurrentSince Nov 30, 2023 Accepting new patients
Palm Beach General Surgery LLC Surgery Past Accepting new patients

Locations

12953 Palms West Dr
Ste 201
Loxahatchee, FL 33470
Phone (561) 790-2111

4685 S Congress Ave
Ste 201
Palm Springs, FL 33461
Phone (561) 548-8600

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: agnieszka.dombrowska@hca4.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1164860466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 S CONGRESS AVE STE 201",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614761",
            "telephone_number": "561-548-8600",
            "fax_number": "561-548-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 S CONGRESS AVE STE 201",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614761",
            "telephone_number": "561-548-8600",
            "fax_number": "561-548-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROWSKA",
        "first_name": "AGNIESZKA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS20565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.