KELLY SAWCZYN MD
NPI 1417094707
Pediatrics - Pediatric Hematology-Oncology in Port Charlotte, FL

Q: What is Kelly Sawczyn's NPI number?

The NPI number for Kelly Sawczyn is 1417094707. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Kelly Sawczyn's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Sawczyn was last updated on June 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment

22655 BAYSHORE RD STE 110, PORT CHARLOTTE, FL 33980(941) 235-4900(941) 235-4901 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2024, Mar 30, 2021, Oct 21, 2020 (3 updates tracked since 2020).

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About Kelly Sawczyn Md NPPES

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

KELLY SAWCZYN MD (NPI 1417094707) is an individual pediatric hematology-oncology provider in Port Charlotte, Florida, licensed in Florida (ME98498) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Myers, and is a graduate of University Of Florida College Of Medicine (2001).

NPPES Registry Identity

NPI1417094707

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameKELLY SAWCZYNCredential: MD

Location Address22655 BAYSHORE RD STE 110Port Charlotte, FL 33980-2005

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-5333 · Fax (239) 343-5321

Phone(941) 235-4900

Fax(941) 235-4901

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 2001

Enumeration DateJanuary 30, 2007

Last NPPES UpdateJune 27, 20243 updates tracked since enumeration

NPPES CertifiedJune 27, 2024

✔ NPI 1417094707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in FL · ME98498

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

22655 BAYSHORE RD STE 110, Port Charlotte, FL 33980

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Secondary Practice Location 1

Location 19981 S. Healthpark Drive, Suite 156Fort Myers, FL 33908-3618 · Phone (239) 343-5333 · Fax (239) 343-6019

Other Identifiers 2

Medicaid277025300FL

OtherME95802FL · Florida Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Kelly Sawczyn 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.

PECOS PAC ID2163640665

PECOS Enrollment IDI20140825002584

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.

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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.

DR. ANDREAS H WERLE M.D.

Otolaryngology (Pediatric Otolaryngology)