Organization Active NPI

Bestcare Internal Medicine, PLLC

  • Internal Medicine Physician
  • Surprise, AZ
National Provider Identifier
1679706923
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35602 Issued in AZ
Legal business name
BESTCARE INTERNAL MEDICINE, PLLC
Practice address
13945 W Grand Ave
Suite a-105
Surprise, AZ 85374-2437
Phone
(623) 546-0007
Fax
(623) 584-6915
NPI assigned
Sep 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Barbara Karolina Bialowolska-Romaniuk, M.D.NPI 1114946621
Title
Physician/Owner
Phone
(623) 546-0007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35602 AZ Primary

Addresses

Primary practice location

13945 W Grand Ave
Suite a-105
Surprise, AZ 85374-2437

Mailing address

9832 W Eagle Talon TRL
Peoria, AZ 85383-2926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091019000207 AZ Part B Supplier - Clinic/Group Practice 4082751466 Receives reassigned benefits from 4 practitioners
Practice locations: Surprise, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2007860Bestcare Internal Medicine13945 W Grand Ave Ste a-105, Surprise, AZ 85374Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory

Locations

13945 W Grand Ave
Ste A105
Surprise, AZ 85374
Phone (623) 546-0007

13945 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 546-0007

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1679706923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 W EAGLE TALON TRL",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13945 W GRAND AVE",
            "address_2": "SUITE A-105",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742437",
            "telephone_number": "623-546-0007",
            "fax_number": "623-584-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESTCARE INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "BIALOWOLSKA-ROMANIUK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "KAROLINA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "623-546-0007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.