Active NPI
Daniel John Witkowski, MD
- Obstetrics & Gynecology Physician
- Wakefield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 76869
- Practice address
- 26 Princess St FL 2
Wakefield, MA 01880-0035 - Phone
- (781) 404-3383
- NPI assigned
- Sep 9, 2005
- Last updated
- Apr 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 76869 | MA | Primary |
Addresses
Primary practice location
26 Princess St FL 2
Wakefield, MA 01880-0035
Mailing address
30 Meadowview Rd
Melrose, MA 02176-2913
Phone (617) 257-9315
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3115003 | Medicaid | MA | |
| 1235123845 | Other | MA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Tufts University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Green St
Gardner, MA 01440-1396
Phone (978) 630-6460
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76869 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Direct Women's Health, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Heywood Medical Group Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Massachusetts PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Michael J Grossman MD PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Wiwat, P.C. | Past | Accepting new patients |
Locations
242 Green St
Gardner, MA 01440
Phone (978) 258-4734
250 Green St
Gardner, MA 01440
Phone (978) 630-5050
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
70 East St
Methuen, MA 01844
Phone (978) 682-1906
565 Turnpike St
North Andover, MA 01845
Phone (978) 681-1212
26 Princess St
Fl 2
Wakefield, MA 01880
Phone (781) 404-3383
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
Interoperability endpoints
- daniel.witkowski.1@192.direct.athenahealth.com
- dwitkowski46783@tuftsmedicine.direct-ci.com
Organizations & group practices 9
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.
-
- General Practice Physician
- Gardner, MA
- NPI 1699762286
Obstetrics & Gynecology
-
dba Heywood Hospital
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
- Obstetrics & Gynecology Physician
- North Andover, MA
- NPI 1770530255
-
- Obstetrics & Gynecology Physician
- Lawrence, MA
- NPI 1740844083
-
- Obstetrics & Gynecology Physician
- Wakefield, MA
- NPI 1215625033
-
- Obstetrics Physician
- Brockton, MA
- NPI 1487229035
-
- Public Health & General Preventive Medicine Physician
- Wakefield, MA
- NPI 1093081549
-
dba Heywood Hospitalists
- Hospitalist Physician
- Gardner, MA
- NPI 1205448701
-
dba Heywood Hospital
- Psychiatric Hospital Unit
- Gardner, MA
- NPI 1457685299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1235123845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MEADOWVIEW RD",
"city": "MELROSE",
"state": "MA",
"postal_code": "021762913",
"telephone_number": "617-257-9315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 PRINCESS ST FL 2",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018800035",
"telephone_number": "781-404-3383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITKOWSKI",
"first_name": "DANIEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "76869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3115003",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1235123845",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.