DAVID JOSEPH KONIECZKOWSKI (M.D., PH.D.) – Radiation Oncology Physician, NPI 1184005266

DAVID JOSEPH KONIECZKOWSKI (M.D., PH.D.) is a healthcare provider. based in Columbus, Ohio. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. 35.139744 (OH). The NPI Number for DAVID JOSEPH KONIECZKOWSKI (M.D., PH.D.) is 1184005266

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DAVID JOSEPH KONIECZKOWSKI (M.D., PH.D.)
NPI
1184005266
Phone
(614) 293-3241
Address
460 W 10TH AVE FL 2
Enumeration Date
15 June 2015
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
6142938415
Graduation Year
2015 (11 years ago)
PAC ID
7911212907
Group Practice PAC ID
8123076023
Professional Enrollment ID
I20200804003039
Address ID
OH432101240CO460XXAVEX400
Telehealth
Yes

Contacts

Secure Messaging
dkonieczkowski898199@direct.osumc.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness95
Years active:10State licenses:1Other names

321 RADIATION ONCOLOGY in OH

Provider Addresses for DAVID JOSEPH KONIECZKOWSKI (M.D., PH.D.)

  • 460 W 10TH AVE FL 2

    COLUMBUS, OH 432101240

    Phone: (614) 293-3241

    Fax: (614) 293-4044

    Type: Mailing

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-8415

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200804003039IRadiation OncologyOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77014Ct guidance for insertion of radiation therapy fields67742$0
77300Calculation of radiation therapy dose13643$0
77427Radiation treatment management, 5 treatment sessions12734$0
77334Design and construction of complex radiation treatment device5738$0
99214Established patient office or other outpatient visit, 30-39 minutes4431$0
View full utilization report →

Insurance plans in this area (ZIP 43210)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123076023View full group profile
NameSpecialtyState
Nurse PractitionerOH
Radiation OncologyOH
Radiation OncologyOH
Radiation OncologyOH
Nurse PractitionerOH
Radiation OncologyOH
Radiation OncologyFL
Physician AssistantOH
Radiation OncologyNY
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the standard ID for DAVID JOSEPH KONIECZKOWSKI (M.D., PH.D.) in the U.S.?
In the U.S., DAVID JOSEPH KONIECZKOWSKI (M.D., PH.D.) is identified by NPI 1184005266.
Is DAVID JOSEPH KONIECZKOWSKI (M.D., PH.D.)'s NPI status active today?
Active status means DAVID JOSEPH KONIECZKOWSKI (M.D., PH.D.)'s NPI record is not deactivated in the public file.
What services align with DAVID JOSEPH KONIECZKOWSKI (M.D., PH.D.)'s listing?
DAVID JOSEPH KONIECZKOWSKI (M.D., PH.D.)'s public classification highlights Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Is DAVID JOSEPH KONIECZKOWSKI (M.D., PH.D.) tied to Columbus, Ohio?
If you are local to Columbus, Ohio, DAVID JOSEPH KONIECZKOWSKI (M.D., PH.D.) may be relevant to your search.
Why is information missing for DAVID JOSEPH KONIECZKOWSKI (M.D., PH.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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