Active NPI
Andrew Czeslaw Zaleski, MD
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Nokomis, FL
National Provider Identifier
1780650101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- 0101030715
- Practice address
- 2401 Uppakrik LN
Nokomis, FL 34275-1755 - Phone
- (941) 412-1613
- Fax
- (941) 412-1613
- NPI assigned
- Feb 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | ME 84809 | FL | |
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | 0101030715 | VA | Primary |
Addresses
Primary practice location
2401 Uppakrik LN
Nokomis, FL 34275-1755
Mailing address
2401 Uppakrik Lane
Nokomis, FL 34275
Phone (941) 412-1613
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269472700 | Medicaid | FL | |
| P00768151 | Other | VA | RR MEDICARE VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112917 | NY | MD | Clinical Social Worker |
| ME 84809 | FL | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
| 0101030715 | VA | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
| 11141 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heywood Medical Group Inc. | Past | Accepting new patients | |
| Southeast Volusia Medical Services Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Bert Fish Medical Center
- Surgery Physician
- New Smyrna Beach, FL
- NPI 1104868876
-
- General Practice Physician
- Gardner, MA
- NPI 1699762286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1780650101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 UPPAKRIK LANE",
"city": "NOKOMIS",
"state": "FL",
"postal_code": "34275",
"telephone_number": "941-412-1613",
"fax_number": "941-412-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 UPPAKRIK LN",
"city": "NOKOMIS",
"state": "FL",
"postal_code": "342751755",
"telephone_number": "941-412-1613",
"fax_number": "941-412-1613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZALESKI",
"first_name": "ANDREW",
"middle_name": "CZESLAW",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-25",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "FL",
"license": "ME 84809",
"primary": false
},
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "VA",
"license": "0101030715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269472700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE VA",
"identifier": "P00768151",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nokomis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.