Individual provider Active NPI

Michael John Marcinczyk, MD

  • Vascular Surgery Physician
  • Richmond, VA
National Provider Identifier
1841261245
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101230296 Issued in VA
Practice address
2235 Staples Mill Rd Ste 104
Richmond, VA 23230-2942
Phone
(804) 355-9729
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 0101230296 VA Primary

Addresses

Primary practice location

2235 Staples Mill Rd Ste 104
Richmond, VA 23230-2942

Mailing address

PO Box 277771
Atlanta, GA 30384-7771
Phone (610) 644-8900

Other identifiers 2

IdentifierTypeStateIssuer
007B13225MedicaidVA
770003095OtherMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060427000544 VA Practitioner - Vascular Surgery 9537149265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1992
Medicare assignment
May accept Medicare assignment
Group practices
American Access Care of Richmond LLCGroup PAC ID 8325141682, 3 clinicians

Practice addresses (Care Compare)

2235 Staples Mill Rd
Suite 104
Richmond, VA 23230-2942
Phone (804) 355-9729

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
98
Improvement activities
40
Cost
70.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101230296VAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Access Care of Richmond LLC CurrentSince Oct 1, 2022 Accepting new patients
Vascular & Transplant Specialists PC Vascular Surgery PastSince Jul 23, 2004 Accepting new patients
Mandell Retina Center PC PastSince May 1, 2006 Accepting new patients
Franklin J. Frasco, M.D. PA Vascular Surgery PastSince Feb 15, 1990 Accepting new patients

Locations

40 Valley Stream Pkwy
Ste 100
Malvern, PA 19355

2235 Staples Mill Rd
Ste 104
Richmond, VA 23230
Phone (804) 355-9729

Interoperability endpoints

  • Direct secure messaging: michael.marcinczyk.p83@direct.aac.nextgenshare.com
  • Direct secure messaging: michael.marcinczyk.p18@direct.aac.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1841261245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277771",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847771",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 STAPLES MILL RD STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302942",
            "telephone_number": "804-355-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINCZYK",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101230296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007B13225",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "770003095",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.