Individual provider Active NPI

Grzegorz Cieslewicz, M.D.

  • Pulmonary Disease Physician
  • Anaconda, MT
National Provider Identifier
1780634055
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
32473 Issued in AZ
Practice address
401 W Pennsylvania Ave
Anaconda, MT 59711-1999
Phone
(406) 563-8500
Fax
(406) 563-8694
NPI assigned
May 10, 2006
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 32473 AZ
Pulmonary Disease Physician 207RP1001X 32473 AZ Primary

Addresses

Primary practice location

401 W Pennsylvania Ave
Anaconda, MT 59711-1999

Mailing address

401 W Pennsylvania Ave
Anaconda, MT 59711-1999
Phone (406) 563-8500

Other practice location 1

350 Heritage Way Ste 2100
Kalispell, MT 59901-3167
Phone (406) 257-8992

Other practice location 2

9060 E Via Linda Ste 250
Scottsdale, AZ 85258-5425
Phone (480) 614-2000

Other identifiers 2

IdentifierTypeStateIssuer
867955MedicaidAZ
1780634055OtherMTNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, MT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040805000717 AZ Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 5597736165 Reassigns benefits to 3 organizations
I20070129000760 CA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 5597736165 Reassigns benefits to 1 organization
I20140327000917 MT Practitioner - Internal Medicine 5597736165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Acute Medical Services 1 PCGroup PAC ID 6204113970, 49 clinicians
Intensivists of Arizona, LLCGroup PAC ID 6800218843, 2 clinicians
Arizona Pulmonary Specialists LTDGroup PAC ID 7618863192, 44 clinicians

Practice addresses (Care Compare)

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 532-1000

9060 E Via Linda
Suite 250
Scottsdale, AZ 85258-5425
Phone (602) 261-7830

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32473AZMDPulmonary Disease Physician
42801TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of Anaconda CurrentSince Dec 23, 2013 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Feb 22, 2022 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Arizona Pulmonary Specialists LTD Critical Care Medicine CurrentSince Jul 1, 2004 Accepting new patients
Intensivists of Arizona, LLC Critical Care Medicine CurrentSince Mar 5, 2021 Accepting new patients
Community Hospital of Anaconda CurrentSince Dec 23, 2013 Accepting new patients
Enloe Medical Center CurrentSince Jan 4, 2020 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Enloe Medical Center CurrentSince Jan 4, 2020 Accepting new patients
Dignity Health Past Accepting new patients

Locations

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3330 N 2nd St
Ste 300
Phoenix, AZ 85012
Phone (602) 261-7830

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

6970 E Chauncey Ln
Ste 105
Phoenix, AZ 85054
Phone (602) 347-6620

9060 E Via Linda
Scottsdale, AZ 85258
Phone (480) 500-2285

9060 E Via Linda
Ste 250
Scottsdale, AZ 85258
Phone (480) 614-2000

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

Interoperability endpoints

  • Direct secure messaging: gcieslewicz50448@enloedirect.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1780634055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111999",
            "telephone_number": "406-563-8500",
            "fax_number": "406-563-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111999",
            "telephone_number": "406-563-8500",
            "fax_number": "406-563-8694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Heritage Way Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013167",
            "country_code": "US",
            "telephone_number": "406-257-8992",
            "fax_number": "406-257-8996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9060 E Via Linda Ste 250",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585425",
            "country_code": "US",
            "telephone_number": "480-614-2000",
            "fax_number": "480-614-1751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIESLEWICZ",
        "first_name": "GRZEGORZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "32473",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "32473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "867955",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780634055",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "350 Heritage Way Ste 2100",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

Verify at the official NPI Registry.