Cezary Kuprianowicz, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K4117 Issued in TX

Practice address

1605 W 11TH PL
Big Spring, TX 79720-4114

Phone

(432) 264-1300

Fax

(432) 264-7381

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scenic Mountain Medical Center Hospital, Big Spring, TX, CCN 450653
• Reeves Regional Health Hospital, Pecos, TX, CCN 451377

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hkup135@yourcarecommunity.org

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.

• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment Care Compare group NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Big Bend Medical Group

  • Surgery Physician
  • Big Spring, TX
  • NPI 1811973282
  Medicare reassignment
• Howard Emergency Medicine Associates PA.

  • Nurse Practitioner
  • Big Spring, TX
  • NPI 1609972447
  NPD (past)
• Odessa Physician Associates, PLLC

  • Emergency Medicine Physician
  • Odessa, TX
  • NPI 1457398364
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Big Spring Texas Hospital Company LLC

  • General Acute Care Hospital
  • Big Spring, TX
  • NPI 1336976034
  Care Compare affiliation
• Reeves County Hospital District

  • Critical Access Hospital
  • Pecos, TX
  • NPI 1831170273
  Care Compare affiliation

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1881759595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 W 11TH PL",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204114",
            "telephone_number": "432-264-1300",
            "fax_number": "432-264-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 W 11TH PL",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204114",
            "telephone_number": "432-264-1300",
            "fax_number": "432-264-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPRIANOWICZ",
        "first_name": "CEZARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4117",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "K4117",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K4117",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8A9851",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE PROVIDER NUMBER",
            "identifier": "117203101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV NO",
            "identifier": "290010000",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113316702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nkaku Robert Kisaalita, PH.D., ABPP
• Chantal Kneifel, PHARMD
• Parham Koohbor, DDS
• Jenna Hensley Kubena, PHARM.D.
• Tyson Kubena
• Lezlie L Kurklin, O.T.
• Cassie Ann Kuykendall, PT
• Erika B Lamb, RD
• Catherine Le, PHARM.D.
• Lou Angeline Leano, PHARM.D.

• Internal Medicine Physician in Big Spring, TX
• Providers in Big Spring, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.

Verify at the official NPI Registry.