Active NPI
Maksymilian A Kawalec, M.D.
- Hospitalist Physician
- Ridley Park, PA
National Provider Identifier
1659323673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD427746
- Practice address
- 175 E Chester Pike
Ridley Park, PA 19078-2212 - Phone
- (610) 595-6586
- Fax
- (610) 595-6787
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD427746 | PA | Primary |
Addresses
Primary practice location
175 E Chester Pike
Ridley Park, PA 19078-2212
Mailing address
175 E Chester Pike
Ridley Park, PA 19078-2212
Phone (610) 595-6586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 52.22 of 100
- Quality
- 30
- Improvement activities
- 40
- Cost
- 52.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Hospitalists Associates PA | Hospitalist | Current | Accepting new patients |
| Virtua Medical Group, PA | Hospitalist | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Rehabilitation and Electrodiagnostics Inc | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
Organizations & group practices 4
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.
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-
- Orthopaedic Surgery Physician
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- NPI 1841087988
-
- Specialist
- Old Bridge, NJ
- NPI 1083915607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1659323673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 E CHESTER PIKE",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "190782212",
"telephone_number": "610-595-6586",
"fax_number": "610-595-6787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 E CHESTER PIKE",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "190782212",
"telephone_number": "610-595-6586",
"fax_number": "610-595-6787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWALEC",
"first_name": "MAKSYMILIAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD427746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridley Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.