Individual provider Active NPI

Agnieszka Kitowicz, M.D.

  • Family Medicine Physician
  • Garland, TX
National Provider Identifier
1447440979
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5799 Issued in TX
Practice address
601 Clara Barton Blvd Ste 100
Garland, TX 75042-5755
Phone
(972) 276-1779
Fax
(972) 276-5560
NPI assigned
Jul 31, 2007
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M5799 TX Primary

Addresses

Primary practice location

601 Clara Barton Blvd Ste 100
Garland, TX 75042-5755

Mailing address

601 Clara Barton Blvd Ste 100
Garland, TX 75042-5755
Phone (972) 276-1779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090225000238 TX Practitioner - Family Practice 8820154917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

601 Clara Barton Blvd
Garland, TX 75042-5738
Phone (972) 276-1779

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Family Medicine CurrentSince Jan 17, 2023 Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Jan 17, 2023 Accepting new patients

Locations

3310 Live Oak St
Ste 30
Dallas, TX 75204
Phone (972) 942-3410

601 Clara Barton Blvd
Ste 100
Garland, TX 75042
Phone (972) 276-1779

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: agnieszka.kitowicz@wellmed.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1447440979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CLARA BARTON BLVD STE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425755",
            "telephone_number": "972-276-1779",
            "fax_number": "972-276-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CLARA BARTON BLVD STE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425755",
            "telephone_number": "972-276-1779",
            "fax_number": "972-276-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITOWICZ",
        "first_name": "AGNIESZKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.