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GEORGE J JACEWICZ, M. D., INC
NPI 1447502729
Otolaryngology in Warwick, RI

Active since October 10, 2012
95 TOLL GATE RD, WARWICK, RI 02886(401) 738-6111(401) 732-0155 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About George J Jacewicz, M. D., Inc NPPES

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

GEORGE J JACEWICZ, M. D., INC (NPI 1447502729) is a healthcare organization registered as an otolaryngology in Warwick, Rhode Island and active in the NPI registry since October 2012. The organization lists George J Jacewicz, Owner, as its authorized official.

NPPES Registry Identity

NPI1447502729
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameGEORGE J JACEWICZ, M. D., INC
Location Address95 TOLL GATE RDWarwick, RI 02886-4443
Mailing Address95 Toll Gate RdWarwick, RI 02886-4443 · (401) 738-6111 · Fax (401) 732-0155
Phone(401) 738-6111
Fax(401) 732-0155
Organization SubpartNo
Authorized OfficialGeorge J JacewiczOwner · (401) 738-6111
Enumeration DateOctober 10, 2012
Last NPPES UpdateSeptember 6, 2013
✔ NPI 1447502729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in RI · 4047
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
95 TOLL GATE RD, Warwick, RI 02886
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Other Identifiers 3

MedicaidGJ00045RI
Medicare UPINC90236RI
Medicare PIN049000777RI

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

George J Jacewicz, M. D., Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateRhode IslandEnrollment IDO20121126000555Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to George J Jacewicz, M. D., Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

George Jacewicz, M.D.
Otolaryngology
NPI 1639162951
95 TOLL GATE RD
Warwick, RI 02886
(401) 738-6111
✔ PECOS✔ Accepts MedicareSame address

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

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 George J Jacewicz, M. D., Inc's NPI number?

The NPI number for George J Jacewicz, M. D., Inc is 1447502729. It was assigned to this organization in the NPPES registry on October 10, 2012.

Where is George J Jacewicz, M. D., Inc located?

George J Jacewicz, M. D., Inc is located at 95 Toll Gate Rd, Warwick, RI 02886. The listed phone number is (401) 738-6111.

What is George J Jacewicz, M. D., Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is George J Jacewicz, M. D., Inc enrolled in Medicare?

Yes. George J Jacewicz, M. D., Inc is registered in the Medicare PECOS enrollment system.

When is George J Jacewicz, M. D., Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Rhode Island, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through George J Jacewicz, M. D., Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to George J Jacewicz, M. D., Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for George J Jacewicz, M. D., Inc was last updated on September 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.