Individual provider Active NPI

Bryan Douglas Piotrowski, M.D.

  • Cardiovascular Disease Physician
  • Farmington, MO
National Provider Identifier
1962586289
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2007016520 Issued in MO
Practice address
130 Westmount Dr
Farmington, MO 63640-2970
Phone
(573) 756-1813
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2007016520 MO
Interventional Cardiology Physician 207RI0011X 2007016520 MO
Cardiovascular Disease Physician 207RC0000X 2007016520 MO Primary

Addresses

Primary practice location

130 Westmount Dr
Farmington, MO 63640-2970

Mailing address

PO Box 897
Farmington, MO 63640-0897
Phone (573) 756-1813

Other practice location 1

611 W Main St
Fredericktown, MO 63645-1146
Phone (573) 783-3341

Other identifiers 1

IdentifierTypeStateIssuer
2007016520OtherMOLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20110816000733 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4385813955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Saint Louis University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Vascular Associates LLCGroup PAC ID 7012208952, 6 clinicians

Practice addresses (Care Compare)

1101 W Liberty St
Parkland Health Center
Farmington, MO 63640-1921
Phone (573) 756-6451

130 Westmount Dr
Farmington, MO 63640-2970
Phone (573) 756-1813

611 W Main St
Madison Medical CNTR
Fredericktown, MO 63645-1111
Phone (573) 756-1813

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
53.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.24 of 100Reported as group
Quality
82.48
Promoting interoperability
94
Improvement activities
40
Cost
76.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007016520MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Specialists, LLC Internal Medicine Past Accepting new patients

Organizations & group practices 2

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 6

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1962586289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636400897",
            "telephone_number": "573-756-1813",
            "fax_number": "573-756-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WESTMOUNT DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402970",
            "telephone_number": "573-756-1813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 W Main St",
            "address_purpose": "LOCATION",
            "city": "Fredericktown",
            "state": "MO",
            "postal_code": "636451146",
            "country_code": "US",
            "telephone_number": "573-783-3341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIOTROWSKI",
        "first_name": "BRYAN",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2007016520",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2007016520",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2007016520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2007016520",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.