Gerald A Niedzwiecki MD PA
NPI 1639318637ActiveOrganization· Radiology, Vascular & Interventional Radiology· Clearwater, FL
Radiology, Vascular & Interventional Radiology in Clearwater, Florida, registered in NPPES in February 2009. The authorized official on file is Gerald Anthony Niedzwiecki, MD, President/Shareholder. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639318637 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2009 |
| Last updated in NPPES | May 29, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Vascular & Interventional Radiology Primary | 2085R0204X | ME0070649 | FL |
| Radiology, Neuroradiology | 2085N0700X | ME81474 | FL |
| Radiology, Diagnostic Radiology | 2085R0202X | ME0070649 | FL |
| Radiology, Diagnostic Radiology | 2085R0202X | ME81474 | FL |
| Radiology, Diagnostic Ultrasound | 2085U0001X | ME0070649 | FL |
| Physician Assistant | 363A00000X | PAT9104325 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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