MICHAEL WYATT PODIELSKY PA
NPI 1144950379
Physician Assistant in Baltimore, MD

Q: What is Michael Podielsky's NPI number?

The NPI number for Michael Podielsky is 1144950379. It was assigned to this individual provider in the NPPES registry on June 11, 2022.

Q: What is Michael Podielsky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Podielsky was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 11, 2022PECOS EnrolledAccepts Medicare Assignment

1800 ORLEANS STREET, BALTIMORE, MD 21264(410) 502-2037(410) 955-0737 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2025, Jun 11, 2022 (2 updates tracked since 2022).

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About Michael Wyatt Podielsky Pa NPPES

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

MICHAEL WYATT PODIELSKY PA (NPI 1144950379) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C08659) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144950379

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMICHAEL WYATT PODIELSKYCredential: PA

Location Address1800 ORLEANS STREETBaltimore, MD 21264-0002

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266

Phone(410) 502-2037

Fax(410) 955-0737

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 11, 2022

Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1144950379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MD · C08659

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1800 ORLEANS STREET, Baltimore, MD 21264

Open in Google Maps ↗

Secondary Practice Locations 2

Location 155 Fogg RdWeymouth, MA 02190-2432 · Phone (781) 624-8000

Location 2921 S 8th Ave Stop 8253Pocatello, ID 83209-0002 · Phone (208) 282-4726

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

Michael Wyatt Podielsky Pa 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 ID2264966159

PECOS Enrollment IDI20251002002331

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.

Hospital Affiliations CMS Care Compare

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220100

Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21264 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

BRENDA LOUISE BANWELL MD

Pediatrics