DR. BOGDAN PROTYNIAK MD FACS FASCRS NPI 1154632388

NPI Information

  • NPI: 1154632388
  • Provider Name: DR. BOGDAN PROTYNIAK, MD, FACS, FASCRS
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 EAST MOUNTAIN BLVD
    MC: 37-62
    WILKES-BARRE, PA
    ZIP 18711
  • Phone: (570) 808-2340

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NPI Details

DR. Bogdan Protyniak, MD, FACS, FASCRS is a colon rectal surgery in Wilkes-barre, PA with 15 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. DR. Bogdan Protyniak, MD, FACS, FASCRS NPI is 1154632388. 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:

1000 EAST MOUNTAIN BLVD
MC: 37-62
WILKES-BARRE, PA
ZIP 18711
Phone: (570) 808-2340
Fax: (570) 808-7904

The NPI 1154632388 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Partial removal of large bowel and reattachment to rectum using an endoscope (HCPCS:44207)
  • Colonoscopy (HCPCS:NAN13)

The enumeration date for this NPI number is 6/22/2010 and was last updated on 8/31/2020.

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
1208600000XSurgeryMD457834PENNSYLVANIANo
2208C00000XColon & Rectal SurgeryMD457834PENNSYLVANIAYes

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: 3/30/2025

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