Ryszard Jerzy Chetkowski, M.D.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

G47258 Issued in CA

Practice address

2999 Regent St Ste 101-a
Berkeley, CA 94705-2116

Phone

(510) 649-0440

Fax

(510) 649-8700

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Richard Jerzy Chetkowski Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992883011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST STE 101-A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052116",
            "telephone_number": "510-649-0440",
            "fax_number": "510-649-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST STE 101-A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052116",
            "telephone_number": "510-649-0440",
            "fax_number": "510-649-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETKOWSKI",
        "first_name": "RYSZARD",
        "middle_name": "JERZY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "G47258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "CHETKOWSKI",
            "middle_name": "JERZY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Cherry, M.D.
• Lesley Cherry
• Keith Robert Chertok, DDS
• Shaylla Marie Chess
• Fatima Chestnut
• Alexis R Chettiar, NP
• Brian Cheung
• Kaki Cheung, PHARM.D.
• Christian Chhom
• Shirley CHI, M.D.

• Reproductive Endocrinology Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Reproductive Endocrinology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.