Active NPI
Anna E Drzewiecki, MD
- Plastic Surgery Physician
- Virginia Beach, VA
National Provider Identifier
1538216478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 0101049717
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380509 | Other | VA | ANTHEM BCBS |
| 54047 | Other | VA | SENTARA OPTIMA |
| 541858799 | Other | TRICARE | |
| 541858799 | Other | VIRGINIA 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Beach Premier Medical , P.C. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Virginia Beach, VA
- NPI 1265685390
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.