Gerald A Niedzwiecki, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

ME0070649 Issued in FL

Practice address

2730 N McMullen Booth Rd
Suite 100
Clearwater, FL 33761-3325

Phone

(727) 791-7300

Fax

(727) 723-9010

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

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

Specialty

Interventional RadiologyAlso: Diagnostic Radiology, Interventional Pain Management, Peripheral Vascular Disease, Vascular Surgery

Education

University of Rochester School of Medicine and Dentistry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Urology Institute LLCGroup PAC ID 2163653585, 152 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
• Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
• St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Merit-based Incentive Payment System (MIPS)

Final score

94.09 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Cost

80.3

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc41222_advuroswflorida
• FHIR API: https://fhir4.healow.com/fhir/r4/BCDGAA/Endpoint/BCDGAA
• FHIR API: https://fhir-myrecord.cerner.com/r4/_equjXi-I6k5_iN9ulQyh3xNMVDgQ7-w/

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.

• Advanced Urology Institute, LLC

  • Urology Physician
  • Oxford, FL
  • NPI 1023447935
  Medicare reassignment Care Compare group NPD
• Gerald a Niedzwiecki MD PA

  • Vascular & Interventional Radiology Physician
  • Clearwater, FL
  • NPI 1639318637

  Diagnostic Radiology

  Medicare reassignment NPD Authorized official
• Imaging & Radiology Specialists, LLP

  • Diagnostic Radiology Physician
  • Tarpon Springs, FL
  • NPI 1467781120
  NPD (past) Authorized official
• Advanced Urology Institute, LLC

  • Durable Medical Equipment & Medical Supplies
  • Inverness, FL
  • NPI 1700024163
  NPD
• Colleen Niedzwiecki, MD, PA

  • Anesthesiology Physician
  • Clearwater, FL
  • NPI 1528344157
  NPD (past)
• Tampa Bay Radiation Oncology, PA

  • Radiation Oncology Physician
  • Brandon, FL
  • NPI 1376511089
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Morton Plant Hospital Association Inc

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation
• Trustees of Mease Hospital Inc

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1265419907
  Care Compare affiliation

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1578632147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 N MCMULLEN BOOTH RD",
            "address_2": "STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613302",
            "telephone_number": "727-791-7300",
            "fax_number": "727-723-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613325",
            "telephone_number": "727-791-7300",
            "fax_number": "727-723-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDZWIECKI",
        "first_name": "GERALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0070649",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME0070649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250195300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4595565",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1600774",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2648373",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31439",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna L Nichols, D.M.D.
• Jane Ann Nichols, P.T.
• Danielle Nicholson
• Diedra Michelle Nicoletto, MA39156
• Manuela Nicolini
• Katherine Nielsen, R.PH.
• Giovanny I Nieves
• Lunae Nieves
• Wendy Lynn Nighswonger, RRT
• Heather Niven

• Vascular & Interventional Radiology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.