Brian Michael Wojtkielewicz, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS019020 Issued in PA

Practice address

991 Route 19 N Ste B
Waterford, PA 16441-9739

Phone

(814) 877-8790

Fax

(814) 796-4238

NPI assigned

Aug 3, 2016

Sex

Male

Sole proprietor

No

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 PA, NY2 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

Specialty

Family PracticeAlso: Sports Medicine

Education

Lake Erie College of Osteopathic Medicine, Erie, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians

Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Nursing Services of North East Home health agency, North East, PA, CCN 397089
• Upmc Home Healthcare Home health agency, Erie, PA, CCN 397157
• Upmc Hamot Hospital, Erie, PA, CCN 390063
• Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
• Meadville Medical Center Hospital, Meadville, PA, CCN 390113
• Lecom Health Corry Memorial Hospital Hospital, Corry, PA, CCN 391308
• Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.m.wojtkielewicz@upmcdirect.com

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.

• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654
  Medicare reassignment Care Compare group NPD
• Great Lakes Physician Practice PC

  • Internal Medicine Physician
  • Jamestown, NY
  • NPI 1730599176

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Jamestown Area Medical Associates, L.L.P.

  • Internal Medicine Physician
  • Jamestown, NY
  • NPI 1528010766
  NPD

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

• Upmc Home Healthcare of Western PA

  • Home Health Agency
  • Erie, PA
  • NPI 1881004026
  Care Compare affiliation Name & address match
• Community Nursing Services of North East

  • Home Health Agency
  • North East, PA
  • NPI 1780687913
  Care Compare affiliation
• Corry Memorial Hospital Association

  • Critical Access Hospital
  • Corry, PA
  • NPI 1841268877
  Care Compare affiliation
• Meadville Medical Center

  • General Acute Care Hospital
  • Meadville, PA
  • NPI 1942276423
  Care Compare affiliation
• Saint Vincent Health Center

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1861435042
  Care Compare affiliation
• Upmc Hamot

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1487647590
  Care Compare affiliation
• Upmc Hamot

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1538207394
  Care Compare affiliation
• Upmc Chautauqua at Wca

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Jamestown, NY
  • NPI 1568023687
  Care Compare affiliation
• Upmc Chautauqua at Wca

  • General Acute Care Hospital
  • Jamestown, NY
  • NPI 1770573222
  Care Compare affiliation

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1639623978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 ROUTE 19 N STE B",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164419739",
            "telephone_number": "814-877-8790",
            "fax_number": "814-796-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 ROUTE 19 N STE B",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164419739",
            "telephone_number": "814-877-8790",
            "fax_number": "814-796-4238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "NY",
            "postal_code": "140482237",
            "country_code": "US",
            "telephone_number": "716-366-7150",
            "fax_number": "716-366-1976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOJTKIELEWICZ",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "306965",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS019020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna L Timon, DPT
• Gregory Lee Waite, PT, DPT
• Waterford Eye Care, PC
• Waterford Physical Therapy, Inc.
• Sophia Laura Whaling, OTR
• Wonderland Counseling & Coaching LLC

• Family Medicine Physician in Waterford, PA
• Providers in Waterford, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.