PAWEL LYSIKOWSKI MD
NPI 1427744424
Internal Medicine in Glendale, AZ

Q: What is Pawel Lysikowski's NPI number?

The NPI number for Pawel Lysikowski is 1427744424. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Q: What is Pawel Lysikowski's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Pawel Lysikowski was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 12, 2023PECOS Enrolled

5555 W THUNDERBIRD RD, GLENDALE, AZ 85306(602) 865-5555 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, Apr 12, 2023 (2 updates tracked since 2023).

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About Pawel Lysikowski Md NPPES

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

PAWEL LYSIKOWSKI MD (NPI 1427744424) is an individual internal medicine provider in Glendale, Arizona, licensed in Arizona (80911) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1427744424

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePAWEL LYSIKOWSKICredential: MD

Location Address5555 W THUNDERBIRD RDGlendale, AZ 85306-4622

Mailing Address5555 W Thunderbird RdGlendale, AZ 85306-4622

Phone(602) 865-5555

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateApril 12, 2023

Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1427744424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · 80911

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5555 W THUNDERBIRD RD, Glendale, AZ 85306

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pawel Lysikowski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719446343

PECOS Enrollment IDI20260825001724

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.

Medicare Billing Reassignment

Medicare enrollment records show Pawel Lysikowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner Hospital Based Physicians Arizona LLC

31 mi

Multi-Specialty

1900 N HIGLEY RD
Gilbert, AZ 85234

Reassigned Medicare billing, Arizona enrollment
1,081 clinicians in this Medicare group

NPI 1124374822 (480) 543-2034

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85306 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

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.

DR. DAVID CONNOR M.D.

Emergency Medicine