NPIMap

Individual provider Active NPI

Joshua Czerwinski, D.O.

  • Family Medicine Physician
  • Girard, PA
National Provider Identifier
1174813406
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS015926 Issued in PA
Practice address
5165 Imperial Pkwy
Girard, PA 16417-9524
Phone
(814) 774-3128
Fax
(814) 774-0915
NPI assigned
Apr 7, 2011
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS015926 PA Primary

Addresses

Primary practice location

5165 Imperial Pkwy
Girard, PA 16417-9524

Mailing address

5165 Imperial Pkwy
Girard, PA 16417-9524
Phone (814) 774-3128

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jczerwinski148757@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120619000469 PA Practitioner - Family Practice 4082878228 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

5165 Imperial Pkwy
Girard, PA 16417-9523
Phone (814) 774-3128

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Erie Medical Group PC Family Medicine CurrentSince Mar 30, 2014 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Jul 17, 2015 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Jul 17, 2015 Accepting new patients
St Vincent Medical Education and Research Institute Inc Family Medicine CurrentSince Jul 16, 2012 Accepting new patients
Saint Vincent Medical Education and Research Institute Family Medicine Past Accepting new patients
Saint Vincent Health Center Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

145 W 23rd St
Ste 202
Erie, PA 16502
Phone (814) 580-5600

1910 Sassafras St
Ste 100
Erie, PA 16502
Phone (814) 452-5772

5165 Imperial Pkwy
Girard, PA 16417
Phone (814) 452-5231

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1174813406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5165 IMPERIAL PKWY",
            "city": "GIRARD",
            "state": "PA",
            "postal_code": "164179524",
            "telephone_number": "814-774-3128",
            "fax_number": "814-774-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 IMPERIAL PKWY",
            "city": "GIRARD",
            "state": "PA",
            "postal_code": "164179524",
            "telephone_number": "814-774-3128",
            "fax_number": "814-774-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZERWINSKI",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jczerwinski148757@direct.ahn.org",
            "affiliation": "N",
            "address_1": "5165 Imperial Pkwy",
            "city": "Girard",
            "state": "PA",
            "country_code": "US",
            "postal_code": "164179524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Girard, PA

Sources for this page

Verify at the official NPI Registry.