NPIMap

Individual provider Active NPI

Pawel M Szczykutowicz, M.D.

  • Internal Medicine Physician
  • Edgewood, KY
National Provider Identifier
1831142439
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51780 Issued in KY
Practice address
1 Medical Village Drive
Edgewood, KY 41017-3403
Phone
(859) 301-9980
NPI assigned
May 18, 2006
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35078434 OH
Internal Medicine Physician 207R00000X 51780 KY Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 35078434 OH

Addresses

Primary practice location

1 Medical Village Drive
Edgewood, KY 41017-3403

Mailing address

PO Box 637848
Cincinnati, OH 45263-7848
Phone (513) 325-4625

Other practice location 1

7300 Susan Springs Dr
West Chester, OH 45069-4082
Phone (513) 325-4625

Other practice location 2

8073 Tylersville Rd
West Chester, OH 45069-2589
Phone (513) 943-4000

Other identifiers 5

IdentifierTypeStateIssuer
2514461MedicaidOH
P00184161OtherOHRR MEDICARE
K306490OtherKYKENTUCKY PAUL MD MCR
64103823MedicaidKY
P00189431OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040826001494 OH Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7214902956 Reassigns benefits to 1 organization
I20190729001091 KY Practitioner - Internal Medicine 7214902956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 212-4468

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.77 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
55.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078434OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul MD LLC Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
Summit Medical Group, Inc. CurrentSince Apr 30, 2025 Accepting new patients
Summit Medical Group, Inc Internal Medicine CurrentSince Apr 30, 2025 Accepting new patients
Encompass Health Rehabilitation Hospital of Northern Kentucky, LLC Past Accepting new patients
Hillandale Nursing Care, LTD. Past Accepting new patients
Woods Edge Rehab and Nursing LLC Past Accepting new patients
Cottingham Operations LLC Past Accepting new patients
Chesterwood Nursing Care, LTD. Past Accepting new patients
Hillandale Nursing Care, LTD. Past Accepting new patients

Locations

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

201 Medical Village Dr
Edgewood, KY 41017
Phone (859) 341-2044

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

1171 Towne St
Cincinnati, OH 45216
Phone (513) 242-1360

11760 Pellston Ct
Cincinnati, OH 45240
Phone (513) 851-8400

4070 Hamilton Mason Rd
Fairfield Township, OH 45011
Phone (513) 777-1400

4195 Hamilton Mason Rd
Fairfield Township, OH 45011
Phone (513) 688-2266

5900 Meadow Creek Dr
Milford, OH 45150
Phone (513) 248-1655

Organizations & group practices 9

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 6

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1831142439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637848",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637848",
            "telephone_number": "513-325-4625",
            "fax_number": "513-777-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DRIVE",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "859-301-9980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Susan Springs Dr",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450694082",
            "country_code": "US",
            "telephone_number": "513-325-4625",
            "fax_number": "513-777-4693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8073 Tylersville Rd",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450692589",
            "country_code": "US",
            "telephone_number": "513-943-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZCZYKUTOWICZ",
        "first_name": "PAWEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35078434",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "51780",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35078434",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2514461",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00184161",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY PAUL MD MCR",
            "identifier": "K306490",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64103823",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00189431",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.