Individual provider Active NPI

Polina Zmijewski, M.D., M.A.

  • Surgery Physician
  • Birmingham, AL
National Provider Identifier
1538517347
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
LP03743 Issued in RI
Practice address
Uab Department of Surgery
Boshell (BDB) 505 1720 2ND Avenue South
Birmingham, AL 35294-0012
Phone
(205) 934-3333
Fax
(205) 934-0135
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 42295 AL
Surgery Physician 208600000X LP03743 RI Primary

Addresses

Primary practice location

Uab Department of Surgery
Boshell (BDB) 505 1720 2ND Avenue South
Birmingham, AL 35294-0012

Mailing address

Uab Department of Surgery
Boshell (BDB) 505 1720 2ND Avenue South
Birmingham, AL 35294-0012
Phone (205) 934-3333

Other practice location 1

500 22nd St S
Birmingham, AL 35233-3110
Phone (205) 801-9034

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pzmijewski@direct.uabmedicine.org Direct University of Alabama Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 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
I20210928000059 AL Practitioner - Surgical OncologyPractitioner - General Surgery 3678868254 Reassigns benefits to 1 organization
I20241018000548 TN Practitioner - General Surgery 3678868254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1928 Alcoa Hwy
Suite B100
Knoxville, TN 37920-1506
Phone (865) 305-6333

1928 Alcoa Hwy 102
Knoxville, TN 37920-1506
Phone (865) 305-6640

1928 Alcoa Hwy S 102
Knoxville, TN 37920-1506
Phone (865) 544-6740

1930 Alcoa Hwy
Knoxville, TN 37920-1510

1930 Alcoa Hwy 235
Knoxville, TN 37920-1510
Phone (865) 305-4670

2681 Andersonville Hwy
Suite 102
Clinton, TN 37716-6706
Phone (865) 494-5960

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP03743RIMDSurgery Physician
42295ALMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Aug 1, 2024 Accepting new patients
University Health System, Inc Current Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 24, 2021 Accepting new patients
University Health System Inc Surgery CurrentSince Aug 1, 2024 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

500 22nd St S
Birmingham, AL 35233
Phone (205) 801-7440

1720 2nd Ave S
Birmingham, AL 35294
Phone (205) 801-7801

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Interoperability endpoints

  • Direct secure messaging: pzmijewski@direct.uabmedicine.org

Organizations & group practices 4

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 1

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1538517347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UAB DEPARTMENT OF SURGERY",
            "address_2": "BOSHELL (BDB) 505 1720 2ND AVENUE SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940012",
            "telephone_number": "205-934-3333",
            "fax_number": "205-934-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UAB DEPARTMENT OF SURGERY",
            "address_2": "BOSHELL (BDB) 505 1720 2ND AVENUE SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940012",
            "telephone_number": "205-934-3333",
            "fax_number": "205-934-0135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 22nd St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352333110",
            "country_code": "US",
            "telephone_number": "205-801-9034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZMIJEWSKI",
        "first_name": "POLINA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2023-06-29",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "AL",
            "license": "42295",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "LP03743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pzmijewski@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 22nd St S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352333110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.