PAUL JOHN WISNIEWSKI D.O.
NPI 1063674190
Surgery - Surgical Critical Care in Apple Valley, CA

Q: What is Paul Wisniewski's NPI number?

The NPI number for Paul Wisniewski is 1063674190. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Q: What is Paul Wisniewski's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Paul Wisniewski was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment

18523 CORWIN RD STE A, APPLE VALLEY, CA 92307(909) 353-5285 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2025, May 4, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

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About Paul John Wisniewski D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL JOHN WISNIEWSKI D.O. (NPI 1063674190) is an individual surgical critical care provider in Apple Valley, California, licensed in California (CA209062) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Nova Southeastern College Of Osteo Medicine (2003).

NPPES Registry Identity

NPI1063674190

Entity TypeIndividualMale

Primary Taxonomy2086S0102X

Provider Legal NamePAUL JOHN WISNIEWSKICredential: D.O.

Location Address18523 CORWIN RD STE AApple Valley, CA 92307-2300

Mailing Address18523 Corwin Rd Ste AApple Valley, CA 92307-2300 · (909) 712-2764 · Fax (909) 752-8719

Phone(909) 353-5285

Sole ProprietorNo

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2003

Enumeration DateJune 30, 2008

Last NPPES UpdateOctober 31, 20254 updates tracked since enumeration

NPPES CertifiedOctober 31, 2025

✔ NPI 1063674190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

Licenses✔ Licensed in CA · CA209062✔ Licensed in FL · OS 12023✔ Licensed in DC · DO034774

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License 20A9062 (CA)

18523 CORWIN RD STE A, Apple Valley, CA 92307

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Secondary Practice Locations 3

Location 1400 N Pepper Ave Ste 308Colton, CA 92324-1801 · Phone (909) 580-3353 · Fax (909) 580-1363

Location 2900 23rd St NWWashington, DC 20037-2342 · Phone (202) 677-6219

Location 3450 E Yosemite Ave Ste DMerced, CA 95340-8429 · Phone (350) 225-3602

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul John Wisniewski D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42342990

PECOS Enrollment IDI20100713000445

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

39 services39 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

38 services22 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

33 services22 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

20 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services18 patients

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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