MR. PAWEL MICHAL DUTKIEWICZ M.D.
NPI 1275890097
Family Medicine in Tokeland, WA
About Mr. Pawel Michal Dutkiewicz M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAWEL MICHAL DUTKIEWICZ M.D. (NPI 1275890097) is an individual family medicine provider in Tokeland, Washington, licensed in Washington (MD60752511) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Pawel Michal Dutkiewicz M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Pawel Dutkiewicz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tokeland, WA 98590
- Reassigned Medicare billing, Washington enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Centralia Hospital
Acute Care Hospitals · Centralia, WAGrays Harbor Community Hospital
Acute Care Hospitals · Aberdeen, WAWillapa Harbor Hospital
Critical Access Hospitals · South Bend, WASummit Pacific Medical Center
Critical Access Hospitals · Elma, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98590 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 15
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Pawel Dutkiewicz's NPI number?
The NPI number for Pawel Dutkiewicz is 1275890097. It was assigned to this individual provider in the NPPES registry on April 18, 2012.
Where is Pawel Dutkiewicz located?
Pawel Dutkiewicz practices at 2373 Tokeland Rd Bld E, Tokeland, WA 98590. The listed phone number is (360) 267-0119.
What is Pawel Dutkiewicz's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Pawel Dutkiewicz enrolled in Medicare?
Yes. Pawel Dutkiewicz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Pawel Dutkiewicz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pawel Dutkiewicz reassigns Medicare benefits to Shoalwater Bay Tribe (Tokeland, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pawel Dutkiewicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pawel Dutkiewicz accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Pawel Dutkiewicz 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.
Is Pawel Dutkiewicz affiliated with any hospitals?
According to CMS data, Pawel Dutkiewicz is affiliated with Providence Centralia Hospital, Grays Harbor Community Hospital, Willapa Harbor Hospital and Summit Pacific Medical Center.
When was this NPI record last updated?
The NPPES record for Pawel Dutkiewicz was last updated on January 15, 2026. 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.
# Mr. Pawel Michal Dutkiewicz, M.D. · NPI 1275890097
Family Medicine physician in Tokeland, Washington. Individual provider, active in the CMS NPPES registry since April 18, 2012.
## Identity
- **NPI:** 1275890097 (Entity type: Individual)
- **Enumerated:** April 18, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD60752511 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 2373 TOKELAND RD BLD E, Tokeland, WA 98590
- **Phone:** (360) 267-0119 · **Fax:** (360) 267-0417
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Shoalwater Bay Tribe (NPI 1063624740, Tokeland, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** January 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275890097) · Data from the CMS NPPES public registry.