Active NPI
Eugene P Podrazik, M.D.
- Otolaryngology Physician
- Casper, WY
National Provider Identifier
1265418834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 6478A
- Practice address
- 2210 King Blvd.
Casper, WY 82604 - Phone
- (307) 577-4242
- Fax
- (307) 577-0012
- NPI assigned
- Dec 15, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 6478A | WY | Primary |
Addresses
Primary practice location
2210 King Blvd.
Casper, WY 82604
Mailing address
2210 King Blvd.
Casper, WY 82604
Phone (307) 577-4242
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310642 | Other | BLUE CROSS BLUE SHIELD | |
| 040015424 | Other | RAILROAD MEDICARE | |
| 115763900 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- 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
- Otolaryngology
- Education
- Rush Medical College of Rush University, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2210 King Blvd
Casper, WY 82604-3165
Phone (307) 577-4240
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.74 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 95.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2739 | TX | MD | Interventional Cardiology Physician |
| 6478A | WY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyoming Otolaryngology, P.C. | Otolaryngology | Current | Accepting new patients |
| Wyoming Otolaryngology, P.C. | Past | Accepting new patients |
Locations
2210 King Blvd
Casper, WY 82604
Phone (307) 577-4240
Interoperability endpoints
- epodrazik@yourcarecommunity.org
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Casper, WY
- NPI 1578511036
-
- Hearing Instrument Specialist
- Casper, WY
- NPI 1568290161
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SageWest Health Care
- Rural Acute Care Hospital
- Lander, WY
- NPI 1245337286
-
- General Acute Care Hospital
- Casper, WY
- NPI 1346332954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403740800000",
"number": "1265418834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 KING BLVD.",
"city": "CASPER",
"state": "WY",
"postal_code": "82604",
"telephone_number": "307-577-4242",
"fax_number": "307-577-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 KING BLVD.",
"city": "CASPER",
"state": "WY",
"postal_code": "82604",
"telephone_number": "307-577-4242",
"fax_number": "307-577-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODRAZIK",
"first_name": "EUGENE",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2014-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WY",
"license": "6478A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "310642",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040015424",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115763900",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.