NPIMap

Individual provider Active NPI

Andrew William Pieleck, D.O.

  • Family Medicine Physician
  • Forest, VA
National Provider Identifier
1821226937
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116021714 Issued in VA
Practice address
2103 Graves Mill Rd
Forest, VA 24551-2675
Phone
(434) 316-7199
Fax
(434) 316-6185
NPI assigned
Jun 26, 2009
Last updated
Nov 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116021714 VA Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 0102203496 VA

Addresses

Primary practice location

2103 Graves Mill Rd
Forest, VA 24551-2675

Mailing address

2103 Graves Mill Rd
Forest, VA 24551-2675
Phone (434) 316-7199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20130827000560 VA Practitioner - Family PracticePractitioner - Sports Medicine 2961645700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Access Healthcare Multi-Specialty Group PLLCGroup PAC ID 4789922790, 5 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2103 Graves Mill Rd
Forest, VA 24551-2675
Phone (434) 316-7199

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116021714VAMDFamily Medicine Physician
0102203496VAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Healthcare Multi-Specialty Group, PLLC Multi-Specialty CurrentSince Jun 27, 2018 Accepting new patients
Access Healthcare Inc Multi-Specialty Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2103 Graves Mill Rd
Forest, VA 24551
Phone (434) 316-7190

Interoperability endpoints

  • Direct secure messaging: andrew.pieleck.2@18860.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18860/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 12

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1821226937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 GRAVES MILL RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512675",
            "telephone_number": "434-316-7199",
            "fax_number": "434-316-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 GRAVES MILL RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512675",
            "telephone_number": "434-316-7199",
            "fax_number": "434-316-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIELECK",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116021714",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "VA",
            "license": "0102203496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

Verify at the official NPI Registry.