Individual provider Active NPI

Michael Pirkowski, M.D.

  • Radiation Oncology Physician
  • Daytona Beach, FL
National Provider Identifier
1386646461
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME60102 Issued in FL
Practice address
1620 Mason Ave
Suite E
Daytona Beach, FL 32117-7802
Phone
(386) 506-5116
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME60102 FL Primary

Addresses

Primary practice location

1620 Mason Ave
Suite E
Daytona Beach, FL 32117-7802

Mailing address

12109 County Road 103
Oxford, FL 34484-2951
Phone (352) 205-8981

Other identifiers 1

IdentifierTypeStateIssuer
057366300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041019000577 FL Practitioner - Radiation OncologyPractitioner - Urology 4486615978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation OncologyAlso: Urology
Education
Vanderbilt University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Urology Center PAGroup PAC ID 8224927132, 11 clinicians

Practice addresses (Care Compare)

300 Clyde Morris Blvd
Suite C
Ormond Beach, FL 32174-5956
Phone (386) 673-5100

Hospital & facility affiliations

  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118

Merit-based Incentive Payment System (MIPS)

Final score
97.35 of 100Reported as group
Quality
100
Improvement activities
40
Cost
91.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME46645FLMDRadiation Oncology Physician
ME60102FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Urology Center PA CurrentSince Apr 1, 2016 Accepting new patients
Heartland Oncology Partners, LLC Radiation Oncology Past Accepting new patients

Locations

1620 Mason Ave
Ste E
Daytona Beach, FL 32117
Phone (386) 274-1640

300 Clyde Morris Blvd
Ste C
Ormond Beach, FL 32174
Phone (386) 673-5100

Interoperability endpoints

  • Direct secure messaging: michael.pirkowski@fluro.directbygreenway.com

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 3

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1386646461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 COUNTY ROAD 103",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344842951",
            "telephone_number": "352-205-8981",
            "fax_number": "352-391-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MASON AVE",
            "address_2": "SUITE E",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177802",
            "telephone_number": "386-506-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRKOWSKI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME60102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057366300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.