NPIMap

Individual provider Active NPI

Agnieszka M Chrostowski, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1790777456
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31974 Issued in AZ
Practice address
10240 W Indian School Rd
Suite 155
Phoenix, AZ 85037-5904
Phone
(623) 385-7900
Fax
(623) 792-1233
NPI assigned
Aug 18, 2005
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31974 AZ Primary

Addresses

Primary practice location

10240 W Indian School Rd
Suite 155
Phoenix, AZ 85037-5904

Mailing address

10240 W Indian School Rd
Suite 155
Phoenix, AZ 85037-5904
Phone (623) 385-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050927000606 AZ Practitioner - Family Practice 8123053311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Years Family Medicine LLCGroup PAC ID 9739409665, 4 clinicians

Practice addresses (Care Compare)

10240 W Indian School Rd
Suite 155
Phoenix, AZ 85037-5909
Phone 62359431715107

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31974AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Years Family Medicine LLC CurrentSince Apr 1, 2015 Accepting new patients
Agnieszka M Chrostowski, M.D., PC Family Medicine PastSince Sep 1, 2003 Accepting new patients
Travis R. Allen, M.D., PLC PastSince Apr 1, 2022 Accepting new patients

Locations

14960 W Indian School Rd
Ste 340
Goodyear, AZ 85395
Phone (623) 594-3171

10240 W Indian School Rd
Ste 155
Phoenix, AZ 85037
Phone (623) 385-7900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAEHCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1790777456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 W INDIAN SCHOOL RD",
            "address_2": "SUITE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375904",
            "telephone_number": "623-385-7900",
            "fax_number": "623-792-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 W INDIAN SCHOOL RD",
            "address_2": "SUITE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375904",
            "telephone_number": "623-385-7900",
            "fax_number": "623-792-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHROSTOWSKI",
        "first_name": "AGNIESZKA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "31974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.