Individual provider Active NPI

Andrew J Wolszczak, MD

  • Urology Physician
  • Marathon, FL
National Provider Identifier
1942255815
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME2327Y Issued in FL
Practice address
5170 Overseas Hwy
Marathon, FL 33050-2624
Phone
(305) 743-6526
Fax
(305) 743-4070
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME2327Y FL Primary

Addresses

Primary practice location

5170 Overseas Hwy
Marathon, FL 33050-2624

Mailing address

5170 Overseas Hwy
Marathon, FL 33050-2624
Phone (305) 743-6526

Other identifiers 1

IdentifierTypeStateIssuer
48864BOtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101005001126 FL Practitioner - Urology 5991997223 Practice locations: Marathon, FL

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana Medical College, School of Medicine of Purdue University, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5170 Overseas Hwy
Marathon, FL 33050-2624
Phone (305) 743-6526

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME2327YFLMDUrology Physician
23274FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew J. Wolszczak, M.D. Urology PastSince Nov 1, 1974 Accepting new patients

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 1

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942255815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502624",
            "telephone_number": "305-743-6526",
            "fax_number": "305-743-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502624",
            "telephone_number": "305-743-6526",
            "fax_number": "305-743-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLSZCZAK",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME2327Y",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "48864B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

Verify at the official NPI Registry.