Individual provider Active NPI

Bartosz Adam Walczyszyn, M.D.

  • Hematology & Oncology Physician
  • Mooresville, NC
National Provider Identifier
1376833723
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA10137900 Issued in NJ
Practice address
170 Medical Park Rd Ste 101
Mooresville, NC 28117-8541
Phone
(980) 302-7070
Fax
(980) 302-7075
NPI assigned
Apr 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 2022-00142 NC
Medical Oncology Physician 207RX0202X 277911 NY
Hematology & Oncology Physician 207RH0003X 25MA10137900 NJ Primary
Hematology & Oncology Physician 207RH0003X 2022-00142 NC
Medical Oncology Physician 207RX0202X 2022-00142 NC

Addresses

Primary practice location

170 Medical Park Rd Ste 101
Mooresville, NC 28117-8541

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Other practice location 1

150 Park Ave
Florham Park, NJ 07932-1049
Phone (973) 538-5210

Other practice location 2

1500 Route 112 Bldg 4
Suite101
Port Jefferson Station, NY 11776
Phone (631) 574-8354

Other practice location 3

8401 University Exec Park Dr Ste 130
Charlotte, NC 28262-4358
Phone (980) 302-7050

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bwalczyszyn1028379@direct.novanthealth.org
Direct Messaging Address bwalczyszyn1028379@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170720000139 NJ Practitioner - Hematology/Oncology 3274803523 Reassigns benefits to 1 organization
I20180920001563 NY Practitioner - Medical Oncology 3274803523 Reassigns benefits to 1 organization
I20220411000210 NC Practitioner - Hematology/Oncology 3274803523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

170 Medical Park Rd
Suite 101
Mooresville, NC 28117-8541
Phone (980) 302-7070

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183
  • Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10137900NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC CurrentSince Sep 1, 2018 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
The Presbyterian Hospital CurrentSince Jan 23, 2022 Accepting new patients
The Presbyterian Hospital Hematology & Oncology CurrentSince Jan 23, 2022 Accepting new patients
Summit Medical Group, Inc Past Accepting new patients
Novant Health Medical Group Coastal Region, LLC Hematology & Oncology Past Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

8401 University Exec Park Dr
Ste 130
Charlotte, NC 28262
Phone (704) 316-2016

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

10030 Gilead Rd
Ste 350
Huntersville, NC 28078
Phone (704) 799-3946

170 Medical Park Rd
Ste 101
Mooresville, NC 28117
Phone (704) 799-3946

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Organizations & group practices 8

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 6

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": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1376833723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MEDICAL PARK RD STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178541",
            "telephone_number": "980-302-7070",
            "fax_number": "980-302-7075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Florham Park",
            "state": "NJ",
            "postal_code": "079321049",
            "country_code": "US",
            "telephone_number": "973-538-5210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Route 112 Bldg 4",
            "address_2": "Suite101",
            "address_purpose": "LOCATION",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "11776",
            "country_code": "US",
            "telephone_number": "631-574-8354",
            "fax_number": "631-509-6559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 University Exec Park Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282624358",
            "country_code": "US",
            "telephone_number": "980-302-7050",
            "fax_number": "980-302-7055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALCZYSZYN",
        "first_name": "BARTOSZ",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NC",
            "license": "2022-00142",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "277911",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA10137900",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2022-00142",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "2022-00142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwalczyszyn1028379@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "170 Medical Park Rd Ste 101",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281178541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwalczyszyn1028379@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8401 University Exec Park Dr Ste 130",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282624358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.