Individual provider Active NPI

James Harry Skorczewski Jr., D.O.

  • Interventional Cardiology Physician
  • St Petersburg, FL
National Provider Identifier
1487964813
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
OS12202 Issued in FL
Practice address
5398 Park St N
St Petersburg, FL 33709-1041
Phone
(757) 544-1441
Fax
(727) 545-8263
NPI assigned
Oct 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X OS12202 FL
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X OS12202 FL Primary
Internal Medicine Physician 207R00000X OS12202 FL

Addresses

Primary practice location

5398 Park St N
St Petersburg, FL 33709-1041

Mailing address

5398 Park St N
St Petersburg, FL 33709-1041
Phone (757) 544-1441

Other practice location 1

1201 7th Ave N
St Petersburg, FL 33705-1310
Phone (727) 544-1441

Other practice location 2

201 14th St SW
Largo, FL 33770-3133
Phone (727) 588-5200

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
I20150819009404 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0446565410 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians
Pinellas Ekg Interpreters IncGroup PAC ID 4385608066, 37 clinicians
Bay Area Heart Center PAGroup PAC ID 7416857180, 16 clinicians

Practice addresses (Care Compare)

2102 Trinity Oaks Blvd
Trinity, FL 34655-4409
Phone (727) 372-4000

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7000

5398 Park St N
St Petersburg, FL 33709-1041
Phone 7275441441150

8787 Bryan Dairy Rd
Largo, FL 33777-1251
Phone (727) 391-4758

Hospital & facility affiliations

  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12202FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Ekg Interpreters Inc Single Specialty CurrentSince May 1, 2018 Accepting new patients
Morton Plant Mease Health Services Inc Single Specialty CurrentSince May 20, 2018 Accepting new patients
Morton Plant Mease Health Services Inc Single Specialty CurrentSince May 20, 2018 Accepting new patients
Cardiology Interpreters Inc Single Specialty CurrentSince Apr 10, 2018 Accepting new patients
Bay Area Heart Center PA Single Specialty CurrentSince Feb 1, 2018 Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

200 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 544-1441

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

5398 Park St N
St Petersburg, FL 33709
Phone (727) 544-1441

1201 7th Ave N
St Petersburg, FL 33705
Phone (727) 544-1441

3600 66th St N
St Petersburg, FL 33710
Phone (727) 504-5183

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: james.skorczewski.1@15915.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15915/brand/3/csg/1/fhir/r4

Organizations & group practices 5

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 6

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": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1487964813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091041",
            "telephone_number": "757-544-1441",
            "fax_number": "727-545-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091041",
            "telephone_number": "757-544-1441",
            "fax_number": "727-545-8263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 7th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337051310",
            "country_code": "US",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 14th St SW",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337703133",
            "country_code": "US",
            "telephone_number": "727-588-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKORCZEWSKI",
        "first_name": "JAMES",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-19",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS12202",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "OS12202",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS12202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.