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GERALD A NIEDZWIECKI MD PA
NPI 1639318637
Radiology - Vascular & Interventional Radiology in Clearwater, FL

Active since February 13, 2009
2730 N MCMULLEN BOOTH RD, SUITE 203, CLEARWATER, FL 33761(727) 286-8929(727) 286-8933 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gerald A Niedzwiecki Md Pa NPPES

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

GERALD A NIEDZWIECKI MD PA (NPI 1639318637) is a healthcare organization registered as a vascular & interventional radiology in Clearwater, Florida and active in the NPI registry since February 2009. The organization lists Gerald Anthony Niedzwiecki, President/shareholder, as its authorized official.

NPPES Registry Identity

NPI1639318637
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameGERALD A NIEDZWIECKI MD PA
Location Address2730 N MCMULLEN BOOTH RD, SUITE 203Clearwater, FL 33761-3302
Mailing Address2730 N Mcmullen Booth Rd, Suite 100Clearwater, FL 33761-3302 · (727) 791-7300 · Fax (727) 723-9010
Phone(727) 286-8929
Fax(727) 286-8933
Organization SubpartNo
Authorized OfficialGerald Anthony NiedzwieckiPresident/shareholder · (727) 791-7300
Enumeration DateFebruary 13, 2009
Last NPPES UpdateMay 29, 2015
✔ NPI 1639318637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in FL · ME0070649
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License ME81474 (FL)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License ME0070649 (FL), ME81474 (FL)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License ME0070649 (FL)
Also ListedPhysician AssistantTaxonomy 363A00000X · License PAT9104325 (FL)
2730 N MCMULLEN BOOTH RD, Clearwater, FL 33761
Open in Google Maps ↗

Other Identifiers 10

Other203364FL · Avmed
Other220039FL · Amerigroup
Other300123717FL · Railroad Medicare
Other31439FL · Bcbs
Medicare UPINF99793FL
Medicaid250195300FL
Other1600774FL · United Healthcare
Other2648373FL · Aetna Hmo
Other4593565FL · Aetna Ppo
Medicare PIN31439AFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gerald A Niedzwiecki Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Gerald A Niedzwiecki MD PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Gerald Niedzwiecki, MD
Interventional Radiology
NPI 1578632147
2730 N MCMULLEN BOOTH RD SUITE 100
Clearwater, FL 33761
(727) 791-7300
✔ PECOS✔ Accepts MedicareSame address
Christopher Edwards, DO
Cardiovascular Disease (Cardiology)
NPI 1821307877
3901 UNIVERSITY BLVD S STE 221
Jacksonville, FL 32216
(904) 423-0010
✔ PECOS✔ Accepts Medicare170 mi
Brett Welke, M.D.
Interventional Radiology
NPI 1013143692
2157 WHITE PLAINS RD
Bronx, NY 10462
(347) 824-8065
✔ PECOS✔ Accepts Medicare1,017 mi

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 Gerald A Niedzwiecki MD PA's NPI number?

The NPI number for Gerald A Niedzwiecki MD PA is 1639318637. It was assigned to this organization in the NPPES registry on February 13, 2009.

Where is Gerald A Niedzwiecki MD PA located?

Gerald A Niedzwiecki MD PA is located at 2730 N Mcmullen Booth Rd Suite 203, Clearwater, FL 33761. The listed phone number is (727) 286-8929.

What is Gerald A Niedzwiecki MD PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Gerald A Niedzwiecki MD PA enrolled in Medicare?

Yes. Gerald A Niedzwiecki MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gerald A Niedzwiecki MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Gerald A Niedzwiecki MD PA, in Cardiovascular Disease (Cardiology) and Interventional Radiology. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gerald A Niedzwiecki MD PA was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.