Individual provider Active NPI

Andrew B. Szumowski, M.D.

  • Internal Medicine Physician
  • Chicopee, MA
National Provider Identifier
1376506790
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44606 Issued in MA
Practice address
444 Montgomery St
Chicopee, MA 01020-1969
Phone
(413) 594-3111
Fax
(413) 598-7115
NPI assigned
Apr 7, 2006
Last updated
Apr 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44606 MA Primary

Addresses

Primary practice location

444 Montgomery St
Chicopee, MA 01020-1969

Mailing address

444 Montgomery St
Chicopee, MA 01020-1969
Phone (413) 594-3111

Other identifiers 1

IdentifierTypeStateIssuer
6174337MedicaidMA

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44606MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mwa, PC Past Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

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, 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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1376506790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MONTGOMERY ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201969",
            "telephone_number": "413-594-3111",
            "fax_number": "413-598-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MONTGOMERY ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201969",
            "telephone_number": "413-594-3111",
            "fax_number": "413-598-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZUMOWSKI",
        "first_name": "ANDREW",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "44606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6174337",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.