Individual provider Active NPI

Stephen Hryniewicki, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1598871741
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G45594 Issued in CA
Practice address
2650 Elm Ave Ste 309
Long Beach, CA 90806-1600
Phone
(562) 595-8549
Fax
(562) 492-6271
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G45594 CA Primary

Addresses

Primary practice location

2650 Elm Ave Ste 309
Long Beach, CA 90806-1600

Mailing address

2010 N Victoria Dr
Santa Ana, CA 92706-2514
Phone (714) 973-1544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20111130000173 CA Practitioner - Internal Medicine 5799769816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.23 of 100Reported as group
Quality
98.15
Improvement activities
40
Cost
56.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G45594CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Internal Medical Group, Inc. a Professional Corporation Internal Medicine CurrentSince Jan 1, 2002 Accepting new patients

Locations

2650 Elm Ave
Ste 309
Long Beach, CA 90806
Phone (562) 595-8549

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73195

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598871741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N VICTORIA DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062514",
            "telephone_number": "714-973-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 ELM AVE STE 309",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061600",
            "telephone_number": "562-595-8549",
            "fax_number": "562-492-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRYNIEWICKI",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G45594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.