Active NPI
Joshua Czarnecki, PA-C
- Physician Assistant
- San Antonio, TX
National Provider Identifier
1306472048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13496
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA13496 | TX | MD | Physician Assistant |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1902400880
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.