Individual provider Active NPI

Maciej Tumiel, M.D.

  • General Practice Physician
  • Panama City, FL
National Provider Identifier
1477514024
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0066733 Issued in FL
Practice address
2101 Northside Dr
Suite 603
Panama City, FL 32405-3685
Phone
(850) 784-8007
Fax
(850) 784-1090
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME0066733 FL Primary

Addresses

Primary practice location

2101 Northside Dr
Suite 603
Panama City, FL 32405-3685

Mailing address

PO Box 527
Panama City, FL 32402-0527
Phone (850) 784-8007

Other identifiers 1

IdentifierTypeStateIssuer
376948800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070514000453 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 4880676089 Reassigns benefits to 1 organization
I20170322001116 LA Practitioner - Gastroenterology 4880676089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2101 Northside Dr
Suite 603
Panama City, FL 32405-3687
Phone (850) 784-8007

Hospital & facility affiliations

  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026
  • Ascension Sacred Heart Gulf Hospital, Port Saint Joe, FL, CCN 100313

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy81
Upper gastrointestinal (GI) endoscopy for acid reflux79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066733FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maciej Tumiel MD PA CurrentSince Sep 3, 2002 Accepting new patients
Rapides Healthcare System, LLC CurrentSince Feb 8, 2017 Accepting new patients
Rapides Healthcare System LLC CurrentSince Feb 8, 2017 Accepting new patients

Locations

2101 Northside Dr
Unit 603
Panama City, FL 32405
Phone (850) 784-8007

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

Organizations & group practices 3

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1477514024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324020527",
            "telephone_number": "850-784-8007",
            "fax_number": "850-784-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NORTHSIDE DR",
            "address_2": "SUITE 603",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053685",
            "telephone_number": "850-784-8007",
            "fax_number": "850-784-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMIEL",
        "first_name": "MACIEJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0066733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376948800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.