NPI Information

  • NPI: 1043539729
  • Provider Name: EUGENE JON PIETZAK, MD
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3400 SPRUCE ST
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 349-5042

Map and Directions

Get Directions

NPI Details

Eugene Jon Pietzak, MD is a student in an organized health care education training program in Philadelphia, PA with 16 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Eugene Jon Pietzak, MD NPI is 1043539729. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3400 SPRUCE ST
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 349-5042

The NPI 1043539729 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm (HCPCS:52234)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Surgical removal of prostate and surrounding lymph nodes using an endoscope (HCPCS:55866)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Removal of fluid-producing glands for sperm movement (HCPCS:55650)
  • Instillation of anti-cancer drug into bladder (HCPCS:51720)
  • Biopsy of prostate gland (HCPCS:55700)
  • Destruction and/or removal of large growth of bladder using an endoscope (HCPCS:52240)
  • Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope (HCPCS:52214)
  • Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm (HCPCS:52224)
  • Other procedure on bladder using an endoscope (HCPCS:51999)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 5/20/2010 and was last updated on 5/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyMT197755PENNSYLVANIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramMT197755PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.