Look up the most recent NPI and PECOS records

Andrzej Belzowski

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Andrzej Belzowski is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1497100739
Provider Type
Individual
Full Name
Belzowski, Andrzej
Title
Dr.
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
4/23/2016
Last Updated
8/11/2022

Contact Information

Practice Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-9000

Unlisted Fax

Mailing Location

9200 W Wisconsin Ave, Milwaukee, WI 53226-3522

(414) 805-3750

(414) 259-9290

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 036157675 Illinois
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 74930 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 1497100739	Description Medicaid	Issuer Unlisted Wisconsin

Andrzej Belzowski

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Cooper, Richard

Boychev, George

Aggarwal, Deep K

Turkel, Gary

Chaney, Kimberly A

Annes, John George

Pasquale, David D

Tannus, Joao Fernando Kazan

Bova, Davide

Siddiqui, Mariah Haider