Michael Paul Koniarczyk, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35.097075 Issued in OH

Practice address

2570 Som Center Rd
WH 10 / Internal Medicine/Pediatrics
Willoughby Hills, OH 44094-9607

Phone

(440) 943-2500

NPI assigned

Jul 24, 2007

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

Medicare fee-for-service enrollment

Enrolled in OH

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

Internal MedicineAlso: Pediatric Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Home Care Home health agency, Independence, OH, CCN 367142
• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
• Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
• Ashtabula County Medical Center Hospital, Ashtabula, OH, CCN 360125
• Euclid Hospital Hospital, Euclid, OH, CCN 360082

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkoniarczykmd144390@direct.ccf.org

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.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment Care Compare group NPD
• Euclid Hospital Cleveland Clinic Health System

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD

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

• Ashtabula County Medical Center

  • General Acute Care Hospital
  • Ashtabula, OH
  • NPI 1285607416
  Care Compare affiliation
• Cleveland Clinic Foundation Cleveland Clinic Home Care

  • Home Health Agency
  • Independence, OH
  • NPI 1225009442
  Care Compare affiliation
• Cleveland Clinic Health System - East Region

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1598719346
  Care Compare affiliation
• Cleveland Clinic Health System - East Region

  • General Acute Care Hospital
  • Mayfield HTS, OH
  • NPI 1902858152
  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1609076868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 SOM CENTER RD",
            "address_2": "WH 10 / INTERNAL MEDICINE/PEDIATRICS",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949607",
            "telephone_number": "440-943-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 SOM CENTER RD",
            "address_2": "WH 10 / INTERNAL MEDICINE/PEDIATRICS",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949607",
            "telephone_number": "440-943-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIARCZYK",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.097075",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.097075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamica King
• Mia Isabella King
• Samantha Kissig
• Ashley Michelle Knight
• Brian Andrew Koludrovich, DPM
• Brandon George Kopfstein, DPT
• Matthew Gerard Kramer
• Gina Ivana Kucmanic, RD
• L&P Enterprises, Inc
• Lake Hospital System Inc

• Internal Medicine Physician in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.
• 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.