Anna Bienkowski, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036094248 Issued in IL

Practice address

825 Jadwin Ave Ste 250
Richland, WA 99352-3589

Phone

(509) 946-1020

Fax

(509) 946-0827

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Anna Ursula Godzina Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1477668069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 JADWIN AVE STE 250",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523589",
            "telephone_number": "509-946-1020",
            "fax_number": "509-946-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 JADWIN AVE STE 250",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523589",
            "telephone_number": "509-946-1020",
            "fax_number": "509-946-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENKOWSKI",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036094248",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036094248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094248",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "GODZINA",
            "middle_name": "URSULA",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert John Betzler, DC
• Leilani Betzsold
• Mark Bick, LMFT
• Daniel Bickham
• Andrew Bieber, DO
• Jenifer Bigbey
• Philip Biggs, MD
• Lynetta Aileen Bigness, RNFA
• Layton Bird, PT
• Lora C Bird, ANP-C

• Internal Medicine Physician in Richland, WA
• Providers in Richland, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.