MICHAEL S JEDRZYNSKI MD NPI 1962572115

NPI Information

  • NPI: 1962572115
  • Provider Name: MICHAEL S JEDRZYNSKI, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6660 COYLE AVE #300
    CARMICHAEL, CA
    ZIP 95608
  • Phone: (916) 965-1115

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NPI Details

Michael S Jedrzynski, MD is a specialist in Carmichael, CA with 41 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Michael S Jedrzynski, MD NPI is 1962572115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

6660 COYLE AVE #300
CARMICHAEL, CA
ZIP 95608
Phone: (916) 965-1115
Fax: (916) 965-1155

The NPI 1962572115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer 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.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection of chemical for paralysis of nerve muscles on side of face (HCPCS:64612)
  • Exam of visual field with limited testing (HCPCS:92081)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Biopsy of eyelid (HCPCS:67810)
  • Probing of nasal tear duct (HCPCS:68840)
  • Removal of foreign body or stone in tear passages (HCPCS:68530)
  • Probing of nasal tear duct with insertion of tube or stent (HCPCS:68815)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Reconstruction of eyelid margin (HCPCS:67950)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Removal of growth of eyelid (HCPCS:67840)
  • Removal of over 1/4 of eyelid margin and repair of eyelid (HCPCS:67966)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 11/8/2006 and was last updated on 7/8/2007.

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
1174400000XSpecialistG60011Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G600110MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
200G600111MEDICAIDCALIFORNIA
3E30040MEDICARE UPIN

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

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