EWA ANTONCZYK MD
NPI 1891740270
Internal Medicine in Clarksville, TN

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
647 DUNLOP LN, SUITE 108, CLARKSVILLE, TN 37040(931) 502-3660 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ewa Antonczyk Md NPPES

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

EWA ANTONCZYK MD (NPI 1891740270) is an individual internal medicine provider in Clarksville, Tennessee, licensed in Tennessee (46834) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Tennova Healthcare-clarksville, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2002).

NPPES Registry Identity

NPI1891740270
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameEWA ANTONCZYKCredential: MD
Location Address647 DUNLOP LN, SUITE 108Clarksville, TN 37040-5165
Mailing Address647 Dunlop Ln, Suite 108Clarksville, TN 37040-5165 · (931) 502-3660
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2002
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
NPI 1891740270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TN · 46834 Licensed in NM · MD2005-0482 Licensed in FL · ME93992
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.

647 DUNLOP LN, Clarksville, TN 37040

Accepted 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

Ewa Antonczyk 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 ID840215034
PECOS Enrollment IDI20111004000781
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
134 services28 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
43 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
27 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440035
Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37040 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
647 DUNLOP LN, SUITE 305
CLARKSVILLE, TN 37040
Clinic/Center (Military/U.S. Coast Guard Outpatient)
647 DUNLOP LN, GATEWAY MEDICAL CENTER MEDICAL OFFICE BLDG ONE
CLARKSVILLE, TN 37040
Pain Medicine (Pain Medicine)
647 DUNLOP LN, STE 305 PMB 31
CLARKSVILLE, TN 37040
Nurse Practitioner (Family)
647 DUNLOP LN
CLARKSVILLE, TN 37040
Nurse Practitioner
647 DUNLOP LN, SUITE 100
CLARKSVILLE, TN 37040
Internal Medicine (Cardiovascular Disease)
647 DUNLOP LN, STE 101
CLARKSVILLE, TN 37040

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 Ewa Antonczyk's NPI number?

The NPI number for Ewa Antonczyk is 1891740270. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Ewa Antonczyk located?

Ewa Antonczyk practices at 647 Dunlop Ln Suite 108, Clarksville, TN 37040. The listed phone number is (931) 502-3660.

What is Ewa Antonczyk's specialty?

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

Is Ewa Antonczyk enrolled in Medicare?

Yes. Ewa Antonczyk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ewa Antonczyk accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Ewa Antonczyk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ewa Antonczyk affiliated with any hospitals?

According to CMS data, Ewa Antonczyk is affiliated with Tennova Healthcare-Clarksville.

When was this NPI record last updated?

The NPPES record for Ewa Antonczyk was last updated on September 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.