Active NPI
Brian Andrew Minarcik, D.O
- Anesthesiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OT012404
- Practice address
- 3401 N Broad St
Department of Anesthesiology
Philadelphia, PA 19140-5103 - Phone
- (215) 707-3328
- Fax
- (215) 707-8028
- NPI assigned
- Jun 3, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | OT012404 | PA | Primary |
Addresses
Primary practice location
3401 N Broad St
Department of Anesthesiology
Philadelphia, PA 19140-5103
Mailing address
358 Green LN
Philadelphia, PA 19128-4727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Philadelphia College of Osteopathic Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23625 Holman Hwy
Monterey, CA 93940-5902
Phone (831) 624-5311
Hospital & facility affiliations
- Community Hospital of the Monterey Peninsula
Merit-based Incentive Payment System (MIPS)
- Final score
- 83 of 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3563 | WV | MD | Dentist |
| OT012404 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of West Virginia, PLLC | Anesthesiology | Current | Accepting new patients |
| Ventana Anesthesia Associates Inc | Anesthesiology | Current | Accepting new patients |
Locations
966 Cass St
Ste 150
Monterey, CA 93940
Phone (831) 649-1126
23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708
1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960
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.
-
- Anesthesiology Physician
- Monterey, CA
- NPI 1699094409
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Monterey, CA
- NPI 1679562169
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1821224973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 GREEN LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191284727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"address_2": "DEPARTMENT OF ANESTHESIOLOGY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "215-707-3328",
"fax_number": "215-707-8028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINARCIK",
"first_name": "BRIAN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-03",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "OT012404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.