Andy Jedrzejczyk, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301108096 Issued in MI

Practice address

18101 Oakwood Blvd
Dearborn, MI 48124-4089

Phone

(313) 593-7000

NPI assigned

Jun 15, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, WA2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians

Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians

Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians

Central Washington Health Services AssociationGroup PAC ID 4880504596, 708 clinicians

Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians

Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Okanogan County Public Hospital District No. 3Group PAC ID 6800707951, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
• Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051
• Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
• Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
• Providence Medford Medical Center Hospital, Medford, OR, CCN 380075

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 43)

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.

• Central Washington Health Services Association

  • General Acute Care Hospital
  • Wenatchee, WA
  • NPI 1881642239

  OH

  Medicare reassignment Care Compare group NPD
• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159
  Medicare reassignment Care Compare group NPD
• Okanogan County Public Hospital District No. 3

  • Critical Access Hospital
  • Omak, WA
  • NPI 1255387403
  Medicare reassignment Care Compare group NPD
• Radia California Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Santa Rosa, CA
  • NPI 1740982032

  OH

  Medicare reassignment Care Compare group NPD
• Radia Inc P S

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1932196607

  OH

  Medicare reassignment Care Compare group NPD
• Radia Oregon Radiology Medical Group LLC

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1073385423

  OH

  Medicare reassignment Care Compare group NPD
• Swedish Health Services

  • Body Imaging Physician
  • Everett, WA
  • NPI 1114356904
  Medicare reassignment Care Compare group NPD
• Swedish Health Services

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1689612954
  Medicare reassignment Care Compare group NPD
• Evergreen Radia LLC

  • Diagnostic Radiology Physician
  • Kirkland, WA
  • NPI 1922095694

  OH

  Medicare reassignment Care Compare group
• Aultman Now Urgent Care, LLC

  • Urgent Care Clinic/Center
  • North Canton, OH
  • NPI 1225662927
  Medicare reassignment NPD
• Medford Radiological Group, PC

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1407938111

  OH

  Medicare reassignment NPD
• Okanogan County Public Hospital Dist No 4

  • Medical Specialty Clinic/Center
  • Tonasket, WA
  • NPI 1750443834
  Medicare reassignment NPD

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

• Asante

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1770587107
  Care Compare affiliation
• Overlake Medical Center & Clinics

  • General Acute Care Hospital
  • Bellevue, WA
  • NPI 1598971855
  Care Compare affiliation
• Overlake Medical Center & Clinics

  • General Acute Care Hospital
  • Bellevue, WA
  • NPI 1861432726
  Care Compare affiliation
• Providence Health & Services - Oregon

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1689755670
  Care Compare affiliation
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  Care Compare affiliation

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1215318217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 OLD WEYMOUTH RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569206",
            "telephone_number": "216-470-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-593-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEDRZEJCZYK",
        "first_name": "ANDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301108096",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61608090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazih Jawad, RPH
• Nabeha Jawany
• Zabiba Abdo Jawany
• Dania Diana Jaward
• Sara Rayann Jawhar
• Jeffrey E. Puccio M.D., P.C.
• Jehangir N Rao MD PLLC
• Sophia Elizabeth Jelsomeno
• Maryam Jelvani
• Susan M Jenison

• Diagnostic Radiology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.