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DR. ROMAN PETER URBANCZYK M.D.
NPI 1114933918
Internal Medicine in Valley Stream, NY

Active since August 01, 2006PECOS EnrolledCLIA 33D0155160 · Waiver
75/100
CMS Quality Rating
15 FLETCHER AVE, VALLEY STREAM, NY 11580(516) 825-3666(516) 872-5133 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roman Peter Urbanczyk M.d. NPPES

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

DR. ROMAN PETER URBANCZYK M.D. (NPI 1114933918) is an individual internal medicine provider in Valley Stream, New York, licensed in New York (182869) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is affiliated with North Shore University Hospital.

NPPES Registry Identity

NPI1114933918
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ROMAN PETER URBANCZYKCredential: M.D.
Location Address15 FLETCHER AVEValley Stream, NY 11580-4000
Mailing Address15 Fletcher AveValley Stream, NY 11580 · (516) 825-3666 · Fax (516) 872-5133
Phone(516) 825-3666
Fax(516) 872-5133
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 1, 2006
Last NPPES UpdateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1114933918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 182869
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15 FLETCHER AVE, Valley Stream, NY 11580
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roman Peter Urbanczyk M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315935442
PECOS Enrollment IDI20040505001315
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0155160

Roman Urbanczyk MD · Valley Stream, NY
Active · expires Aug 31, 2026
CLIA Number33D0155160
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAaron T. Lent MD
Laboratory Phone(516) 825-3666
Laboratory LocationRoman Urbanczyk MD15 Fletcher Ave, Valley Stream, NY 11580
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
625 services230 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
282 services191 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.
238 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
121 services121 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.
43 services25 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
38 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330259
Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11580 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers32 claims120 services$6.47 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims23 services$1.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers26 claims26 services$65.40 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
5 suppliers15 claims2,353 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$23.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

VALLEY STREAM MEDICAL ASSOCIATES, P.C.
Internal Medicine (Pulmonary Disease)
15 FLETCHER AVE, VALLEY STREAM MEDICAL ASSOCIATES, P.C.
VALLEY STREAM, NY 11580
Nassau County (516) 825-3666
LI PREMIER MEDICAL CARE PLLC
Surgery
15 FLETCHER AVE
VALLEY STREAM, NY 11580
Nassau County (516) 872-0922
DR. MARK HOWARD GORDON DDS
Dentist (General Practice)
15 FLETCHER AVE
VALLEY STREAM, NY 11580
Nassau County (516) 561-1577
DR. ROBERT HOFFMANN DC
Chiropractor
15 FLETCHER AVE, #7
VALLEY STREAM, NY 11580
Nassau County (516) 872-0680
VICTOR HUGO TARANTO M.D., D.O.
Surgery
15 FLETCHER AVE
VALLEY STREAM, NY 11580
Nassau County (516) 872-0922
RAFAEL C HERNANDEZ M.D., D.O.
Surgery
15 FLETCHER AVE
VALLEY STREAM, NY 11580
Nassau County (516) 872-3033
DR. DOLORES BRANDT PH.D.
Psychologist (Clinical)
15 FLETCHER AVE
VALLEY STREAM, NY 11580
Nassau County (516) 872-5010
CHIROQUEST CHIROPRACTIC PC
Chiropractor
15 FLETCHER AVE, #7
VALLEY STREAM, NY 11580
Nassau County (516) 872-0680

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roman Urbanczyk's NPI number?

The NPI number for Roman Urbanczyk is 1114933918. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Roman Urbanczyk located?

Roman Urbanczyk practices at 15 Fletcher Ave, Valley Stream, NY 11580. The listed phone number is (516) 825-3666.

What is Roman Urbanczyk's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roman Urbanczyk enrolled in Medicare?

Yes. Roman Urbanczyk is registered in the Medicare PECOS enrollment system.

Does Roman Urbanczyk hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0155160) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Roman Urbanczyk affiliated with any hospitals?

According to CMS data, Roman Urbanczyk is affiliated with North Shore University Hospital, St Francis Hospital - The Heart Center and Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Roman Urbanczyk was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.