Individual provider Active NPI

Eliza Karwowski, DO

  • Psychiatry Physician
  • Reston, VA
National Provider Identifier
1861810384
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A15357 Issued in CA
Practice address
1768 Business Center Dr Ste 100
Reston, VA 20190-5359
Phone
(800) 762-9244
Fax
(786) 672-6006
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS14683 FL
Psychiatry Physician 2084P0800X R8221 TX
Psychiatry Physician 2084P0800X 20A15357 CA Primary

Addresses

Primary practice location

1768 Business Center Dr Ste 100
Reston, VA 20190-5359

Mailing address

1768 Business Center Dr Ste 100
Reston, VA 20190-5359
Phone (800) 762-9244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180911002962 TX Practitioner - PsychiatryPractitioner - Osteopathic Manipulative Medicine 4789934860 Reassigns benefits to 4 organizations
I20210910002213 CA Practitioner - Psychiatry 4789934860

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15357CAMDPsychiatry Physician
OS14683FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burke Center Psychiatry CurrentSince Aug 22, 2018 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Sep 4, 2018 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Psychiatry CurrentSince Sep 4, 2018 Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Sep 1, 2018 Accepting new patients
Texana Center CurrentSince Mar 8, 2019 Accepting new patients
Camino Real Community MHMR Center CurrentSince Mar 1, 2019 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Burke Center PastSince Aug 22, 2018 Accepting new patients

Locations

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

1165 Airport Blvd
Austin, TX 78702
Phone (512) 703-1312

6600 E Ben White Blvd
Austin, TX 78741
Phone (512) 804-3740

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

Interoperability endpoints

  • Direct secure messaging: ekarwowski226286@directhoustonmethodist.org
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: ekarwowski57760@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 8

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1861810384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 BUSINESS CENTER DR STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905359",
            "telephone_number": "800-762-9244",
            "fax_number": "786-672-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 BUSINESS CENTER DR STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905359",
            "telephone_number": "800-762-9244",
            "fax_number": "786-672-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARWOWSKI",
        "first_name": "ELIZA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS14683",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R8221",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A15357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.