Organization Active NPI

MD Total Care, LLC

  • Pulmonary Disease Physician
  • Chattanooga, TN
National Provider Identifier
1801037700
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
44980 Issued in TN
Legal business name
MD TOTAL CARE, LLC
Practice address
1301 McCallie Ave
Suite 200
Chattanooga, TN 37404-2934
Phone
(423) 710-3864
Fax
(423) 710-3865
NPI assigned
Mar 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Dr. Michael T. Czarnecki, M.D.NPI 1780774083
Title
Physician
Phone
(423) 710-3864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 2912 TN
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 44980 TN
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 063058 GA
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X M4016 TX
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 44980 TN
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 063058 GA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X M4016 TX
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 44980 TN Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 063058 GA
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 44980 TN
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 063058 GA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 44980 TN
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 063058 GA
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X 44980 TN
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X 063058 GA

Addresses

Primary practice location

1301 McCallie Ave
Suite 200
Chattanooga, TN 37404-2934

Mailing address

PO Box 8308
Chattanooga, TN 37414-0308
Phone (423) 710-3864

Other names 1

  • Pulmonary & Critical Care Consultants of Chattanooga Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100316000376 TN Part B Supplier - Clinic/Group Practice 5294860268 Receives reassigned benefits from 3 practitioners
Practice locations: Chattanooga, TN; Hixson, TN; Jasper, TN
O20100318000865 GA Part B Supplier - Clinic/Group Practice 5294860268 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Oglethorpe, GA; Rossville, GA; Blairsville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2100595MD Total Care, PLLC1301 McCallie Ave, Suite 200, Chattanooga, TN 37404Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory

Locations

961 Spring Creek Rd
Ste 301
Chattanooga, TN 37412
Phone (423) 654-4390

1301 McCallie Ave
Ste 200
Chattanooga, TN 37404
Phone (423) 600-9743

961 Spring Creek Rd
Ste B
Chattanooga, TN 37412
Phone (423) 710-3764

1301 McCallie Ave
Ste 2
Chattanooga, TN 37404

5441 Highway 153
Ste 100
Hixson, TN 37343
Phone (423) 710-4369

3697 Main St
Jasper, TN 37347
Phone (423) 710-3864

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1801037700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8308",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374140308",
            "telephone_number": "423-710-3864",
            "fax_number": "423-710-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MCCALLIE AVE",
            "address_2": "SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042934",
            "telephone_number": "423-710-3864",
            "fax_number": "423-710-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD TOTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "CZARNECKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "423-710-3864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "2912",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "44980",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "063058",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "M4016",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "44980",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "063058",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "M4016",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "44980",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "063058",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "44980",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "063058",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TN",
            "license": "44980",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "063058",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "44980",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "063058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulmonary & Critical Care Consultants of Chattanooga",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.