Active NPI
Wojciech Ornowski, MD
- Sleep Medicine (Internal Medicine) Physician
- South Holland, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 036094416
- Practice address
- 16105 Lasalle St.
South Holland, IL 60473 - Phone
- (708) 566-4134
- Fax
- (708) 713-4143
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036094416 | IL | |
| Internal Medicine Physician | 207R00000X | 01045993A | IN | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 01045993 | IN | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 036094416 | IL | Primary |
Addresses
Primary practice location
16105 Lasalle St.
South Holland, IL 60473
Mailing address
16105 Lasalle St.
South Holland, IL 60473
Phone (708) 566-4134
Other practice location 1
9240 N. Meridian Street
Ste. 300 A
Indianapolis, IN 46260
Phone (317) 815-1213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036094416 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wojteko@direct.practicefusion.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16105 La Salle St
South Holland, IL 60473-2064
Phone (708) 566-4134
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036094416 | IL | MD | Sleep Medicine (Internal Medicine) Physician |
| 01045993 | IN | MD | Sleep Medicine (Internal Medicine) Physician |
Organizations & group practices 1
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.
-
- Sleep Medicine (Internal Medicine) Physician
- South Holland, IL
- NPI 1447376330
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1801887369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16105 LASALLE ST.",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "60473",
"telephone_number": "708-566-4134",
"fax_number": "708-713-4143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16105 LASALLE ST.",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "60473",
"telephone_number": "708-566-4134",
"fax_number": "708-713-4143"
}
],
"practiceLocations": [
{
"address_1": "9240 N. Meridian Street",
"address_2": "Ste. 300 A",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "46260",
"country_code": "US",
"telephone_number": "317-815-1213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORNOWSKI",
"first_name": "WOJCIECH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036094416",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01045993A",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IN",
"license": "01045993",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IL",
"license": "036094416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036094416",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wojteko@direct.practicefusion.com",
"affiliation": "N",
"address_1": "16105 LASALLE ST.",
"city": "South Holland",
"state": "IL",
"country_code": "US",
"postal_code": "60473",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Holland, IL
- Omoba Luxury Transit LLC
- One Step at a Time, LTD
- Folarin Opakunle, DNP, FNP, PMHNP
- Optimum Health Chiropractic & Wellness Center, Inc.
- Opulent Luxury Laboratory (Opulent Lux Lab LLC.)
- Jesse Lee Owens, M.A, LCSW
- Praveen Parvathala, M.D.
- Dharmesh Kanubhai Patel, M.D.
- Dipeeka Patel, N.P.,
- Divya Patel, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.