ANTHONY A NIEZYNIECKI (M.D.) – Emergency Medicine Physician, NPI 1104864842

ANTHONY A NIEZYNIECKI (M.D.) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036-094801 (IL). The NPI Number for ANTHONY A NIEZYNIECKI (M.D.) is 1104864842

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY A NIEZYNIECKI (M.D.)
NPI
1104864842
Phone
(414) 290-6720
Address
111 E WISCONSIN AVE
Enumeration Date
3 June 2006
Last Update Date
30 January 2009

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8155475441
Graduation Year
1993 (33 years ago)
PAC ID
7719997642
Group Practice PAC ID
1254794415
Professional Enrollment ID
I20060421000399
Address ID
IL610085907BE1625XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,309 EMERGENCY MEDICINE in WI

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Provider Addresses for ANTHONY A NIEZYNIECKI (M.D.)

  • Chase Tower, 111, East Wisconsin Avenue, East Town, Milwaukee, Milwaukee County, Wisconsin, 53202, United States

    MILWAUKEE, WI 532024815

    Phone: (414) 290-6720

    Fax: (414) 290-6755

    Mailing address matches the actual address.

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: 2006-04-21

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
I20060421000399IEmergency MedicineILTBD

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
99284Emergency department visit with moderate level of medical decision making119113$0
99285Emergency department visit with high level of medical decision making8484$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5555$0
99283Emergency department visit with low level of medical decision making2121$0
View full utilization report →

Insurance plans in this area (ZIP 53202)

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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: 1254794415View full group profile
NameSpecialtyState
Emergency MedicineWI
Emergency MedicineIA
Emergency MedicineIL
Emergency MedicineIL
Emergency MedicineIL
Emergency MedicineMI
Emergency MedicineIL
Emergency MedicineWI
Emergency MedicineIL
Emergency MedicineIL

Reviews

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Frequently asked questions

What identifier follows ANTHONY A NIEZYNIECKI (M.D.) across health systems?
The NPI 1104864842 uniquely identifies ANTHONY A NIEZYNIECKI (M.D.) in U.S. healthcare data.
Should I treat ANTHONY A NIEZYNIECKI (M.D.) as an active provider?
Patients and plans typically see ANTHONY A NIEZYNIECKI (M.D.) as active in the national extract.
What services align with ANTHONY A NIEZYNIECKI (M.D.)'s listing?
ANTHONY A NIEZYNIECKI (M.D.)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to ANTHONY A NIEZYNIECKI (M.D.)?
The directory associates ANTHONY A NIEZYNIECKI (M.D.) with Milwaukee, Wisconsin. Check all listed addresses for suites or satellite offices.
Who maintains ANTHONY A NIEZYNIECKI (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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