NPIMap

Individual provider Active NPI

Tomasz Ryszard Gawecki, MD

  • Nephrology Physician
  • Durham, NC
National Provider Identifier
1922023712
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Practice address
4419 Ben Franklin Blvd
Durham, NC 27704-2147
Phone
(919) 477-3005
Fax
(919) 477-5526
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NC Primary

Addresses

Primary practice location

4419 Ben Franklin Blvd
Durham, NC 27704-2147

Mailing address

4419 Ben Franklin Blvd
Durham, NC 27704-2147
Phone (919) 477-3005

Other identifiers 1

IdentifierTypeStateIssuer
891331RMedicaidNC

Other names 1

  • Dr. Tom Gawecki Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100419000837 NC Practitioner - NephrologyPractitioner - Internal Medicine 7618056151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Durham Nephrology Associates PAGroup PAC ID 3072589027, 10 clinicians

Practice addresses (Care Compare)

4419 Ben Franklin Blvd
Durham, NC 27704-2147
Phone (919) 477-3005

Hospital & facility affiliations

  • FMS South Durham Dialysis Center Dialysis facility, Durham, NC, CCN 342680
  • FMC Dialysis Services Neuse River Dialysis facility, Oxford, NC, CCN 342520
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155
  • Granville Health Systems Hospital, Oxford, NC, CCN 340127
  • Duke University Hospital Hospital, Durham, NC, CCN 340030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Durham Nephrology Associates PA Nephrology CurrentSince Jul 1, 2006 Accepting new patients

Locations

4419 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 477-3005

102 Professional Park
Ste B
Oxford, NC 27565
Phone (919) 477-3005

Interoperability endpoints

  • Direct secure messaging: tgawecki15269@direct.acumenmd.com
  • Direct secure messaging: tomasz.gawecki@direct.dna.nchie.net

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1922023712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042147",
            "telephone_number": "919-477-3005",
            "fax_number": "919-477-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042147",
            "telephone_number": "919-477-3005",
            "fax_number": "919-477-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWECKI",
        "first_name": "TOMASZ",
        "middle_name": "RYSZARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891331R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "GAWECKI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.