Active NPI
Andrzej S. Waskiel, M.D.
- Anesthesiology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036095958
- Practice address
- 10315 Dawsons Creek Blvd Ste Ab
Fort Wayne, IN 46825-1912 - Phone
- (260) 442-3502
- Fax
- (260) 442-3598
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01073446A | IN | |
| Interventional Pain Medicine Physician | 208VP0014X | 036095958 | IL | |
| Anesthesiology Physician | 207L00000X | 036095958 | IL | Primary |
Addresses
Primary practice location
10315 Dawsons Creek Blvd Ste Ab
Fort Wayne, IN 46825-1912
Mailing address
10315 Dawsons Creek Blvd Ste Ab
Fort Wayne, IN 46825-1912
Phone (260) 442-3502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036095958 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 14TH St SW
Largo, FL 33770-3133
Phone (727) 588-5200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine State Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology Associates of Illinois, S.C. | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Anesthesiology | Current | Accepting new patients |
| Loyola University Physician Foundation | Past | Accepting new patients |
Locations
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
201 14th St SW
Largo, FL 33770
Phone (727) 588-5222
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
3 Erie Ct
Ste 220
Oak Park, IL 60302
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- General Practice Physician
- Maywood, IL
- NPI 1235148891
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Largo, FL
- NPI 1144274879
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1760427686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10315 DAWSONS CREEK BLVD STE AB",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251912",
"telephone_number": "260-442-3502",
"fax_number": "260-442-3598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10315 DAWSONS CREEK BLVD STE AB",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251912",
"telephone_number": "260-442-3502",
"fax_number": "260-442-3598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASKIEL",
"first_name": "ANDRZEJ",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01073446A",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "036095958",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036095958",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036095958",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.