JAKUB WOLOSZYN MD
NPI 1376839449
Surgery in Loma Linda, CA
About Jakub Woloszyn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAKUB WOLOSZYN MD (NPI 1376839449) is an individual surgery provider in Loma Linda, California, licensed in California (A124914) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2011).
NPPES Registry Identity
Specialties & Licenses 3
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
Jakub Woloszyn Md 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 Jakub Woloszyn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
LOMA LINDA, CA 92350
LOMA LINDA, CA 92350
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 Jakub Woloszyn's NPI number?
The NPI number for Jakub Woloszyn is 1376839449. It was assigned to this individual provider in the NPPES registry on June 27, 2011.
Where is Jakub Woloszyn located?
Jakub Woloszyn practices at 11175 Campus St, Loma Linda, CA 92350. The listed phone number is (909) 558-3650.
What is Jakub Woloszyn's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Jakub Woloszyn enrolled in Medicare?
Yes. Jakub Woloszyn 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 Jakub Woloszyn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jakub Woloszyn reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). 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 Jakub Woloszyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jakub Woloszyn was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jakub Woloszyn, MD · NPI 1376839449
Surgery physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since June 27, 2011.
## Identity
- **NPI:** 1376839449 (Entity type: Individual)
- **Enumerated:** June 27, 2011
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** A124914 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11175 CAMPUS ST, Loma Linda, CA 92350-1700
- **Phone:** (909) 558-3650
## 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:** Faculty Physicians And Surgeons Of Llusm (NPI 1801016860, Loma Linda, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Southwestern Medical School At Dallas, class of 2011
## Record status
- **NPPES last updated:** July 24, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1376839449) · Data from the CMS NPPES public registry.