Patrycja Izabella Czesnowski, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301084438 Issued in MI

Practice address

24503 John R Rd
Hazel Park, MI 48030-1141

Phone

(248) 629-6440

Fax

(248) 629-6445

NPI assigned

Oct 1, 2007

Last updated

Apr 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pczesnowski1124290@direct.hfhs.org

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.

• Primary Medical Services PC

  • Family Medicine Physician
  • Huntington Woods, MI
  • NPI 1265773022
  Medicare reassignment NPD Authorized official
• Primary Medical Urgent Care P.C.

  • Urgent Care Clinic/Center
  • Hazel Park, MI
  • NPI 1386064129
  Authorized official Same address or phone

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1386831568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24503 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301141",
            "telephone_number": "248-629-6440",
            "fax_number": "248-629-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24503 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301141",
            "telephone_number": "248-629-6440",
            "fax_number": "248-629-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZESNOWSKI",
        "first_name": "PATRYCJA",
        "middle_name": "IZABELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301084438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144371279",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396839981",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871645309",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Hazel Park (Hazel Park Fire Department)
• Jillian Clark, MA
• Matthew Cleary Jr.
• Compassionate Growth Counseling PLLC
• Heather Marie Craft
• Davren Dawisha, DMD
• Dearborn Pain Center PLLC (Neu Urgent Care)
• Delaware Professional Therapy PLLC
• Detroit Pharmacy LLC
• Omar Dlewati, DDS

• Family Medicine Physician in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.