Individual provider Active NPI

Zbigniew Wolczynski, MD

  • Internal Medicine Physician
  • Plattsburgh, NY
National Provider Identifier
1205934940
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
223338 Issued in NY
Practice address
210 Cornelia St
Suite 404
Plattsburgh, NY 12901-2318
Phone
(518) 562-7337
Fax
(518) 562-7338
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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 223338 NY Primary

Addresses

Primary practice location

210 Cornelia St
Suite 404
Plattsburgh, NY 12901-2318

Mailing address

210 Cornelia St
Suite 404
Plattsburgh, NY 12901-2318
Phone (518) 562-7337

Other identifiers 8

IdentifierTypeStateIssuer
0007505490OtherNYAETNA
02301435MedicaidNY
252AA1OtherNYEMPIRE BC/BS
P010223338OtherNYEXCELLUS BCBS
201726511 12901 A001OtherNYTRICARE
10084802OtherNYCDPHP
000402772002OtherNYBSNENY
200059037OtherNMMVP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050105000703 NY Practitioner - Internal Medicine 2163470261 Receives reassigned benefits from 1 practitioner
Practice locations: Plattsburgh, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 Cornelia St
Suite 404
Plattsburgh, NY 12901-2318
Phone (518) 562-7337

Hospital & facility affiliations

  • HCR / HCR Home Care Chha (Plattsburgh) Home health agency, Plattsburgh, NY, CCN 337024
  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250

Merit-based Incentive Payment System (MIPS)

Final score
89.12 of 100Reported as individual
Quality
91.88
Improvement activities
40
Cost
74.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223338NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Primary Care Internal Medicine CurrentSince Jan 1, 1990 Accepting new patients

Locations

210 Cornelia St
Ste 404
Plattsburgh, NY 12901
Phone (518) 562-7337

Interoperability endpoints

  • Direct secure messaging: zw@adirondackprimarycare.medentdirect.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1205934940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CORNELIA ST",
            "address_2": "SUITE 404",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012318",
            "telephone_number": "518-562-7337",
            "fax_number": "518-562-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CORNELIA ST",
            "address_2": "SUITE 404",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012318",
            "telephone_number": "518-562-7337",
            "fax_number": "518-562-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLCZYNSKI",
        "first_name": "ZBIGNIEW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "223338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007505490",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02301435",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "252AA1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS",
            "identifier": "P010223338",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "201726511 12901 A001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10084802",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000402772002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "200059037",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.