Individual provider Active NPI

Grzegorz M Szarnecki, M.D.

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1336166008
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME165338 Issued in FL
Practice address
14551 Hope Center Loop Ste 100
Fort Myers, FL 33912-4705
Phone
(239) 936-2316
Fax
(239) 834-6106
NPI assigned
Jul 17, 2006
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0438996 KS
Diagnostic Radiology Physician 2085R0202X 32656 OK
Diagnostic Radiology Physician 2085R0202X 2004009614 MO
Diagnostic Radiology Physician 2085R0202X ME165338 FL Primary

Addresses

Primary practice location

14551 Hope Center Loop Ste 100
Fort Myers, FL 33912-4705

Mailing address

3660 Broadway
Fort Myers, FL 33901-8005
Phone (399) 362-3162

Other identifiers 4

IdentifierTypeStateIssuer
121956900MedicaidFL
209090604MedicaidMO
200582110AMedicaidOK
201111750AMedicaidKS

Other names 1

  • Greg M Szarnecki Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040726000755 MO Practitioner - Diagnostic Radiology 4183604432 Reassigns benefits to 3 organizations
I20240419003439 FL Practitioner - Diagnostic Radiology 4183604432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Regional Center P aGroup PAC ID 9638151756, 60 clinicians

Practice addresses (Care Compare)

14551 Hope Ctr Loop
Suite 100
Fort Myers, FL 33912-4705
Phone (239) 936-2316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0438996KSMDDiagnostic Radiology Physician
2004009614MOMDDiagnostic Radiology Physician
32656OKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Jan 1, 2023 Accepting new patients
Radiology Regional Center P a Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
USA Radiology Management Solutions LLC Diagnostic Radiology CurrentSince Mar 15, 2015 Accepting new patients
Radiology Regional Center, PA Diagnostic Radiology PastSince Aug 28, 2021 Accepting new patients
Radiology Regional Center, PA Diagnostic Radiology PastSince Aug 28, 2021 Accepting new patients

Locations

9776 Bonita Beach Rd SE
Bonita Springs, FL 34135
Phone (239) 319-2005

1708 Cape Coral Pkwy W
Ste 3
Cape Coral, FL 33914
Phone (239) 541-3800

805 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 242-8010

10201 Arcos Ave
Ste 101
Estero, FL 33928
Phone (239) 444-5800

14551 Hope Center Loop
Ste 100
Fort Myers, FL 33912
Phone (399) 362-3162

3660 Broadway
Fort Myers, FL 33901
Phone (239) 424-1449

6100 Winkler Rd
Fort Myers, FL 33919

6140 Winkler Rd
Fort Myers, FL 33919

1110 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 344-1000

700 Goodlette Rd
Naples, FL 34102
Phone (239) 430-1400

18300 Murdock Cir
Unit 101
Port Charlotte, FL 33948

6600 University Pkwy
Ste 102
Sarasota, FL 34240
Phone (941) 378-3231

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1336166008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "399-362-3162",
            "fax_number": "239-834-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14551 HOPE CENTER LOOP STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124705",
            "telephone_number": "239-936-2316",
            "fax_number": "239-834-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZARNECKI",
        "first_name": "GRZEGORZ",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0438996",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "32656",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2004009614",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME165338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121956900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209090604",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200582110A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201111750A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREG",
            "last_name": "SZARNECKI",
            "middle_name": "M",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.