Individual provider Active NPI

Anna E Drzewiecki, MD

  • Plastic Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1538216478
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101049717 Issued in VA
Practice address
1856 Colonial Medical CT
Virginia Beach, VA 23454-3075
Phone
(757) 481-4969
Fax
(757) 481-9373
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 0101049717 VA Primary

Addresses

Primary practice location

1856 Colonial Medical CT
Virginia Beach, VA 23454-3075

Mailing address

1856 Colonial Medical CT
Virginia Beach, VA 23454-3075
Phone (757) 481-4969

Other identifiers 4

IdentifierTypeStateIssuer
380509OtherVAANTHEM BCBS
54047OtherVASENTARA OPTIMA
541858799OtherTRICARE
541858799OtherVIRGINIA HEALTH NETWORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120417000529 VA Practitioner - Plastic and Reconstructive Surgery 9537320619 Practice locations: Virginia Beach, VA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Beach Premier Medical , P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6940/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1538216478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 COLONIAL MEDICAL CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543075",
            "telephone_number": "757-481-4969",
            "fax_number": "757-481-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 COLONIAL MEDICAL CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543075",
            "telephone_number": "757-481-4969",
            "fax_number": "757-481-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRZEWIECKI",
        "first_name": "ANNA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101049717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "380509",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA  OPTIMA",
            "identifier": "54047",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "541858799",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA HEALTH NETWORK",
            "identifier": "541858799",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.