Active NPI
Adam A Paszkowski, M.D.
- Internal Medicine Physician
- Southbridge, MA
National Provider Identifier
1306872452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 48390
- Practice address
- 29 Orchard St
Southbridge, MA 01550-4003 - Phone
- (508) 765-1641
- Fax
- (508) 765-1498
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 48390 | MA | Primary |
Addresses
Primary practice location
29 Orchard St
Southbridge, MA 01550-4003
Mailing address
811 24TH Ave N
Saint Petersburg, FL 33704-3236
Phone (508) 944-2460
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0401838 | Other | MA | UNITED HEALTH CARE |
| 34086 | Other | MA | BOSTON NET HEALTH |
| 35682 | Other | MA | CIGNA |
| 042793566 | Other | MA | BANKERS LIFE |
| N02002 | Other | MA | BLUE CROSS BLUE SHIELD |
| 983802 | Other | MA | NETWORK HEALTH |
| 0281382 | Medicaid | MA | |
| 44957 | Other | MA | FALLON COMMUNITY HEALTH PLAN |
| 60818 | Other | MA | HARVARD PILGRIM |
| 000454206 | Other | MA | AETNA |
| 539542 | Other | MA | US HEALTH |
| 708254 | Other | MA | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centra Medical Group, LLC | Past | Accepting new patients |
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
- Lynchburg, VA
- NPI 1649228966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1306872452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 24TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337043236",
"telephone_number": "508-944-2460",
"fax_number": "774-922-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 ORCHARD ST",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015504003",
"telephone_number": "508-765-1641",
"fax_number": "508-765-1498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASZKOWSKI",
"first_name": "ADAM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "48390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0401838",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON NET HEALTH",
"identifier": "34086",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "35682",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BANKERS LIFE",
"identifier": "042793566",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "N02002",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "983802",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0281382",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH PLAN",
"identifier": "44957",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "60818",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "000454206",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTH",
"identifier": "539542",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "708254",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.