DR. SUSAN LYNN KACZOROWSKI MD
NPI 1689675431
Pediatrics - Pediatric Critical Care Medicine in Wilkes Barre, PA

Q: What is Susan Kaczorowski's NPI number?

The NPI number for Susan Kaczorowski is 1689675431. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Q: What is Susan Kaczorowski's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Susan Kaczorowski was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 02, 2005PECOS Enrolled

25 CHURCH ST, WILKES BARRE, PA 18702(570) 808-8831(570) 808-8845 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Susan Lynn Kaczorowski Md NPPES

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

DR. SUSAN LYNN KACZOROWSKI MD (NPI 1689675431) is an individual pediatric critical care medicine provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD044881E) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689675431

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. SUSAN LYNN KACZOROWSKICredential: MD

Location Address25 CHURCH STWilkes Barre, PA 18702-3507

Mailing Address100 N Academy AveDanville, PA 17822-9800 · (570) 271-6144 · Fax (570) 271-6578

Phone(570) 808-8831

Fax(570) 808-8845

Sole ProprietorNo

Enumeration DateAugust 2, 2005

Last NPPES UpdateJuly 10, 2020

NPPES CertifiedJuly 10, 2020

✔ NPI 1689675431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in PA · MD044881E

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

25 CHURCH ST, Wilkes Barre, PA 18702

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Other Identifiers 3

Medicaid3810000934WV

Medicaid0014069690003PA

Medicaid2233827OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Lynn Kaczorowski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MR. CARMEN ATTANASIO IV RN

Registered Nurse