Andrew J Pelczar, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101234384 Issued in VA

Practice address

1701 N 13TH St
Shelton, WA 98584-2077

Phone

(360) 426-2653

Fax

(360) 475-5560

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

General Surgery

Education

Johns Hopkins University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Public Hospital District No 1 of Mason CountyGroup PAC ID 0345139275, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mason General Hospital & Family of Clinics Hospital, Shelton, WA, CCN 501336

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Public Hospital District No 1 of Mason County

  dba Mason Health-Mason General Hospital

  • Critical Access Hospital
  • Shelton, WA
  • NPI 1760568752
  Medicare reassignment Care Compare group NPD
• Public Hospital District No 1 of Mason County Wa

  dba Mason General Hospital Mountain View Women's Health

  • Clinic/Center
  • Shelton, WA
  • NPI 1316174774
  NPD

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

• Public Hospital District No 1 of Mason County

  dba Mason General Hospital Family Health

  • Clinic/Center
  • Shelton, WA
  • NPI 1700111986

  Hospital

  Care Compare affiliation
• Public Hospital District No 1 of Mason County

  dba Mason Health-Mason General Hospital

  • Critical Access Hospital
  • Shelton, WA
  • NPI 1760568752
  Care Compare affiliation
• Public Hospital District No 1 of Mason County Washington

  dba Mason General Hospital Ankle Foot

  • Foot & Ankle Surgery Podiatrist
  • Shelton, WA
  • NPI 1437486248

  Hospital

  Care Compare affiliation
• Public Hospital District No 1 of Mason County Washington

  dba Mason General Hospital Surgery Clinic

  • Surgery Physician
  • Shelton, WA
  • NPI 1639339666

  Hospital

  Care Compare affiliation
• Public Hospital District No 1 of Mason County Washington

  dba Mason County Eye Clinic

  • Ophthalmologic Surgery Clinic/Center
  • Shelton, WA
  • NPI 1922196609

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1578645099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1668",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985845001",
            "telephone_number": "360-427-9549",
            "fax_number": "360-475-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N 13TH ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842077",
            "telephone_number": "360-426-2653",
            "fax_number": "360-475-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELCZAR",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101234384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalen M Parrott
• Krystal Marie Pate
• Chandrakant Shivarambhai Patel, PHARMACIST
• Patrick Kwong P.S.
• Patrick Kwong P.S.
• Peninsula Community Health Services
• Christopher Webb Penoyar, D.O.
• Christopher Lee Peredney, DNP
• Patricia Eileen Perry
• Brittany Anne Peschek, D.P.D

• Surgery Physician in Shelton, WA
• Providers in Shelton, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.