Individual provider Active NPI

Joshua Czarnecki, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1306472048
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13496 Issued in TX
Practice address
2829 Babcock Rd Ste 117
San Antonio, TX 78229-6009
Phone
(210) 341-9614
NPI assigned
Mar 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13496 TX Primary

Addresses

Primary practice location

2829 Babcock Rd Ste 117
San Antonio, TX 78229-6009

Mailing address

6901 San Pedro Ave # 102
San Antonio, TX 78216-6206
Phone (210) 436-8400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joshua.czarnecki.1@13711.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211111002832 TX Practitioner - Physician Assistant 4183013147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMD Primary Providers South Hill Country Texas, PLLCGroup PAC ID 4284048646, 30 clinicians

Practice addresses (Care Compare)

9055 Katy Fwy
Suite 200
Houston, TX 77024-1629
Phone (346) 980-2701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13496TXMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: joshua.czarnecki.1@13711.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1306472048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 SAN PEDRO AVE # 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166206",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296009",
            "telephone_number": "210-341-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARNECKI",
        "first_name": "JOSHUA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-13",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joshua.czarnecki.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "2829 Babcock Rd Ste 117",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782296009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.