NPIMap

Individual provider Active NPI

Bozena Danuta Wolanska, M.D.

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1689660839
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101233578 Issued in VA
Practice address
125 Olde Greenwich Dr
Suite 300
Fredericksburg, VA 22408
Phone
(540) 374-5599
Fax
(540) 735-8097
NPI assigned
Sep 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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 0101233578 VA Primary

Addresses

Primary practice location

125 Olde Greenwich Dr
Suite 300
Fredericksburg, VA 22408

Mailing address

125 Olde Greenwich Dr
Ste 300
Fredericksburg, VA 22408-4008
Phone (540) 374-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000930 VA Practitioner - Internal Medicine 1153455308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colonial Internal Medicine Associates PCGroup PAC ID 6608842521, 18 clinicians

Practice addresses (Care Compare)

125 Olde Greenwich Dr
Fredericksburg, VA 22408-4008
Phone (540) 374-5599

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101233578VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Internal Medicine Associates PC Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Blue Ridge Cardiology and Internal Medicine PA Internal Medicine Past Accepting new patients
BRMG-PC Internal Medicine Past Accepting new patients

Locations

125 Olde Greenwich Dr
Ste 300
Fredericksburg, VA 22408
Phone (540) 374-5599

392 Garrisonville Rd
Ste 106
Stafford, VA 22554
Phone (540) 374-5599

Organizations & group practices 3

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1689660839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OLDE GREENWICH DR",
            "address_2": "STE 300",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084008",
            "telephone_number": "540-374-5599",
            "fax_number": "540-735-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OLDE GREENWICH DR",
            "address_2": "SUITE 300",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-374-5599",
            "fax_number": "540-735-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLANSKA",
        "first_name": "BOZENA",
        "middle_name": "DANUTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101233578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.