DR. ROSSANO N WLODAWSKY DDS
NPI 1174584981
Oral & Maxillofacial Surgery in Midlothian, VA

Active since March 31, 2006Opted out of Medicare · through Jan 1, 2028
11319 POLO PL, MIDLOTHIAN, VA 23113(804) 794-0794(804) 379-2858 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rossano N Wlodawsky Dds NPPES

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

DR. ROSSANO N WLODAWSKY DDS (NPI 1174584981) is an individual oral & maxillofacial surgery provider in Midlothian, Virginia, licensed in Virginia (0438000187) and active in the NPI registry since March 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174584981
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. ROSSANO N WLODAWSKYCredential: DDS
Location Address11319 POLO PLMidlothian, VA 23113-1434
Mailing Address11545a Nuckols RoadGlen Allen, VA 23059-5666 · (804) 673-8061 · Fax (804) 673-5644
Fax(804) 379-2858
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateAugust 2, 2018
NPI 1174584981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in VA · 0438000187
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 0401410693 (VA)
11319 POLO PL, Midlothian, VA 23113

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Rossano N Wlodawsky Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

Dentist (Oral and Maxillofacial Surgery)
11319 POLO PL
MIDLOTHIAN, VA 23113
Oral & Maxillofacial Surgery
11319 POLO PL
MIDLOTHIAN, VA 23113

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 Rossano Wlodawsky's NPI number?

The NPI number for Rossano Wlodawsky is 1174584981. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Rossano Wlodawsky located?

Rossano Wlodawsky practices at 11319 Polo Pl, Midlothian, VA 23113. The listed phone number is (804) 794-0794.

What is Rossano Wlodawsky's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Rossano Wlodawsky enrolled in Medicare?

No. Rossano Wlodawsky has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Rossano Wlodawsky accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Rossano Wlodawsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rossano Wlodawsky was last updated on August 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.