Active NPI
Zbigniew Dombek, M.D.
- Family Medicine Physician
- Fitchburg, MA
National Provider Identifier
1316907249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 154192
- Practice address
- 76 Summer St
Suite 050
Fitchburg, MA 01420-5783 - Phone
- (978) 353-0004
- Fax
- (978) 353-0034
- NPI assigned
- Mar 24, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 154192 | MA | Primary |
Addresses
Primary practice location
76 Summer St
Suite 050
Fitchburg, MA 01420-5783
Mailing address
76 Summer St
Suite 050
Fitchburg, MA 01420-5783
Phone (978) 353-0004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3171892 | Medicaid | MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050215000978 | MA | Practitioner - Family Practice | 5294787537 | Practice locations: Fitchburg, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
76 Summer St
Suite 50
Fitchburg, MA 01420-5701
Phone (978) 353-0004
Hospital & facility affiliations
- Vna Care Network
- Health Alliance Home Health and Hospice
- Care Central Vna & Hospice Inc
- Umass Memorial Healthalliance Hospitals
- Heywood Hospital -
- Umass Memorial Medical Center/University Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154192 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zbigniew Dombek MD PC | Family Medicine | Past | Accepting new patients |
| Parkhill Family Practice | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DDBFCA/Endpoint/DDBFCA
- https://fhir4.healow.com/fhir/r4/DDBFCA
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.
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Gardner, MA
- NPI 1477526705
-
- Home Health Agency
- Leominster, MA
- NPI 1366420663
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
Hospital
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
Hospital
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
Hospital
-
- Home Health Agency
- Worcester, MA
- NPI 1922002286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1316907249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 SUMMER ST",
"address_2": "SUITE 050",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014205783",
"telephone_number": "978-353-0004",
"fax_number": "978-353-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 SUMMER ST",
"address_2": "SUITE 050",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014205783",
"telephone_number": "978-353-0004",
"fax_number": "978-353-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMBEK",
"first_name": "ZBIGNIEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "154192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3171892",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.