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DR. HENRYK T MALCZAK D.O
NPI 1912008145
General Practice in Winter Haven, FL

Active since September 26, 2006PECOS Enrolled
550 POPE AVE NW STE 200, WINTER HAVEN, FL 33881(863) 299-2630(407) 285-4515 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2024, Aug 14, 2023 (2 updates tracked since 2023).

About Dr. Henryk T Malczak D.o NPPES

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

DR. HENRYK T MALCZAK D.O (NPI 1912008145) is an individual general practice provider in Winter Haven, Florida, licensed in Florida (OS6110) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Leesburg.

NPPES Registry Identity

NPI1912008145
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. HENRYK T MALCZAKCredential: D.O
Location Address550 POPE AVE NW STE 200Winter Haven, FL 33881-4679
Mailing Address425 W Colonial Dr Ste 303Orlando, FL 32804-6863 · (321) 332-6947 · Fax (407) 286-4515
Phone(863) 299-2630
Fax(407) 285-4515
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMay 17, 20242 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1912008145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · OS6110
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
550 POPE AVE NW STE 200, Winter Haven, FL 33881
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Secondary Practice Location 1

Location 12500 Citrus BlvdLeesburg, FL 34748-3063 · Phone (352) 347-5225 · Fax (352) 347-1073

Other Identifiers 1

OtherOS6110FL · Florida Osteopathic Licen

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Henryk T Malczak D.o 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Henryk Malczak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trinity Medical Physicians, LLC
14 mi
Family Medicine
3240 S FLORIDA AVE STE 100
Lakeland, FL 33803
  • Reassigned Medicare billing, Florida enrollment
  • 63 clinicians in this Medicare group
NPI 1225652878 (863) 646-4000
Carespot Of Orlando Hsi Urgent Care LLC
50 mi
Urgent Care
311 SOUTH AVALON PARK BLVD
Orlando, FL 32828
  • Reassigned Medicare billing, Florida enrollment
  • 133 clinicians in this Medicare group
NPI 1306367503 (407) 295-7557

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

Other Providers at the Same Location NPPES 12

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

ELIZABETH MARGARET ENNIS PA-C
Physician Assistant
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
PAUL T WIELEBINSKI M.D.
Internal Medicine
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
DEBRA DEHASS BEACHY FNP-BC
Nurse Practitioner (Family)
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
KEVIN SARNA
Physician Assistant
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
SHIHAB AL-DEEN MUSTAFA
Physician Assistant
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
MISS CASI LEIGH BELL APRN
Nurse Practitioner (Family)
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
MS. MELISSA RAQUEL DUQUE APRN
Nurse Practitioner (Family)
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
SEJAL PATEL
Physician Assistant
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630

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 Henryk Malczak's NPI number?

The NPI number for Henryk Malczak is 1912008145. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Henryk Malczak located?

Henryk Malczak practices at 550 Pope Ave NW Ste 200, Winter Haven, FL 33881. The listed phone number is (863) 299-2630.

What is Henryk Malczak's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Henryk Malczak enrolled in Medicare?

Yes. Henryk Malczak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Henryk Malczak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henryk Malczak reassigns Medicare benefits to 2 organizations: Trinity Medical Physicians, LLC (Lakeland, FL) and Carespot Of Orlando Hsi Urgent Care LLC (Orlando, FL). Each 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 Henryk Malczak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Henryk Malczak accept?

Health plans from Ambetter Health and Ambetter of Alabama list Henryk Malczak 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.

When was this NPI record last updated?

The NPPES record for Henryk Malczak was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.