Individual provider Active NPI

Carl J Szczesniak, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Pinehurst, NC
National Provider Identifier
1922082510
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
200300203 Issued in NC
Practice address
30 Page St
Pinehurst, NC 28374-7928
Phone
(910) 687-4188
Fax
(910) 235-0171
NPI assigned
Dec 6, 2005
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 200300203 NC Primary

Addresses

Primary practice location

30 Page St
Pinehurst, NC 28374-7928

Mailing address

PO Box 4270
Pinehurst, NC 28374-4270
Phone (910) 687-4188

Other identifiers 1

IdentifierTypeStateIssuer
1447293790MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20070620000022 NC Practitioner - Pathology 3274573381 Reassigns benefits to 2 organizations
I20160525000260 SC Practitioner - Pathology 3274573381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Wake Forest University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Pathology Consultants PAGroup PAC ID 5395704266, 3 clinicians

Practice addresses (Care Compare)

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200300203NCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Physicians and Associates PA CurrentSince Jan 2, 2024 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Clinical Pathology Consultants, PA Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2024 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Eagle Physicians and Associates PA Current Accepting new patients
Marlboro Chesterfield Pathology, PC Anatomic Pathology & Clinical Pathology CurrentSince Oct 22, 2023 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Jan 2, 2024 Accepting new patients
Premier Gastroenterology, PA CurrentSince Jan 1, 2024 Accepting new patients
Southeastern Pathology Associate Past Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients
Southeastern Pathology Associates PC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1880 Quiet Cv
Fayetteville, NC 28304
Phone (910) 323-2477

1002 N Church St
Ste 201
Greensboro, NC 27401
Phone (336) 378-0713

15 Regional Dr
Pinehurst, NC 28374
Phone (910) 255-4400

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

30 Page St
Pinehurst, NC 28374
Phone (910) 205-8000

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHJBAA

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1922082510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4270",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283744270",
            "telephone_number": "910-687-4188",
            "fax_number": "910-235-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PAGE ST",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747928",
            "telephone_number": "910-687-4188",
            "fax_number": "910-235-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZCZESNIAK",
        "first_name": "CARL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "200300203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447293790",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.