Individual provider Active NPI

Daniel John Witkowski, MD

  • Obstetrics & Gynecology Physician
  • Wakefield, MA
National Provider Identifier
1235123845
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
76869 Issued in MA
Practice address
26 Princess St FL 2
Wakefield, MA 01880-0035
Phone
(781) 404-3383
NPI assigned
Sep 9, 2005
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3115003MedicaidMA
1235123845OtherMANPI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602000444 MA Practitioner - Obstetrics/Gynecology 1850334715 Reassigns benefits to 5 organizations

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
Heywood Medical Group Inc.Group PAC ID 6901882836, 111 clinicians

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

LicenseStateTypeSpecialty
76869MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Heywood Memorial Hospital CurrentSince Dec 27, 2024 Accepting new patients
Henry Heywood Memorial Hospital Current Accepting new patients
Direct Women's Health, PC Obstetrics & Gynecology CurrentSince Apr 30, 2023 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Dec 27, 2024 Accepting new patients
Heywood Medical Group Inc. Obstetrics & Gynecology CurrentSince Dec 27, 2024 Accepting new patients
Obhg Massachusetts PC Obstetrics & Gynecology CurrentSince Sep 1, 2024 Accepting new patients
Michael J Grossman MD PC Obstetrics & Gynecology CurrentSince Jul 1, 2025 Accepting new patients
Wiwat, P.C. PastSince May 10, 2012 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

  • Direct secure messaging: daniel.witkowski.1@192.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.