Individual provider Active NPI

Slawomir Kusmirek, M.D.

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1366530784
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD431778 Issued in PA
Practice address
245 N 15TH St # Ms 470
Philadelphia, PA 19102-1101
Phone
(215) 762-3457
Fax
(215) 762-3028
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD431778 PA Primary

Addresses

Primary practice location

245 N 15TH St # Ms 470
Philadelphia, PA 19102-1101

Mailing address

1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1320
Phone (215) 255-7822

Other names 1

  • Slawomir Luke Kusmirek Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070919000527 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 8921192147 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reading HospitalGroup PAC ID 7618886490, 179 clinicians
Phoenixville Clinic Company LLCGroup PAC ID 5799796850, 135 clinicians

Practice addresses (Care Compare)

301 S 7TH Ave
Suite 2020
West Reading, PA 19611-1495
Phone (610) 375-6565

826 Main St
Suite 302
Phoenixville, PA 19460-4459
Phone (610) 495-2550

Hospital & facility affiliations

  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Reading Hospital Hospital, West Reading, PA, CCN 390044

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
74.13
Promoting interoperability
98
Improvement activities
40
Cost
78.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD431778PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coatesville Cardiology Clinic LLC Cardiovascular Disease CurrentSince Jan 1, 2021 Accepting new patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
Drexel University Current Accepting new patients
Reading Hospital Current Accepting new patients
Tower Health Medical Group Current Accepting new patients
Tower Health Medical Group CurrentSince Jan 13, 2020 Accepting new patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Jan 13, 2020 Accepting new patients
Reading Hospital CurrentSince May 1, 2024 Accepting new patients
Reading Hospital CurrentSince May 1, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Jan 13, 2020 Accepting new patients
Phoenixville Clinic Company LLC Cardiovascular Disease CurrentSince Jan 13, 2020 Accepting new patients

Locations

31 Industrial Dr
Ste 150
Hamburg, PA 19526
Phone (610) 376-8671

2813 Cottman Ave
Philadelphia, PA 19149
Phone (215) 332-9666

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

245 N 15th St
#470
Philadelphia, PA 19102
Phone (215) 762-3457

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

219 N Broad St
Fl 9
Philadelphia, PA 19107
Phone (215) 762-2688

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

824 Main St
Ste 302
Phoenixville, PA 19460
Phone (610) 917-9551

826 Main St
Ste 302
Phoenixville, PA 19460
Phone (215) 546-6050

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

420 W Linfield Trappe Rd
Ste 2100
Royersford, PA 19468
Phone (610) 495-2510

3025 Zinn Rd
Thorndale, PA 19372
Phone (610) 384-2211

301 S 7th Ave
Ste 2020
West Reading, PA 19611

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 12

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 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1366530784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST",
            "address_2": "SUITE 11511",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021320",
            "telephone_number": "215-255-7822",
            "fax_number": "215-255-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST # MS 470",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-3457",
            "fax_number": "215-762-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSMIREK",
        "first_name": "SLAWOMIR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD431778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SLAWOMIR",
            "last_name": "KUSMIREK",
            "middle_name": "LUKE",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.