Joshua Kwasnicka
Joshua Kwasnicka is a Surgical Physician Assistant in South Bend, IN, registered under NPI 1386190494.
Getting there
The practice address on file is 621 MEMORIAL DR STE 502, South Bend, IN 46601. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 10003694A | IN | Surgical Physician Assistant |
This provider holds licence 10003694A issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 5294015293
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Ohio | I20161208002374 | Practitioner - Physician Assistant |
| Pennsylvania | I20230721001237 | Practitioner - Physician Assistant |
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. There are 2 separate enrolment records across 2 states (OH, PA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Surgical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363AS0400X | Surgical Physician Assistant Surgical | — | — | primary |
| 363AS0400X | Surgical Physician Assistant Surgical | 10003694A | IN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1386190494 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 29, 2016 |
| Last updated | May 22, 2024 |
| Status | Active |
| Sole proprietor | No |
| Practice address |
621 MEMORIAL DR STE 502 South Bend, IN 46601 (574) 647-5875 |
| Mailing address |
18101 LORAIN AVE Cleveland, OH 44111 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 8 | 6 | 1 | 9 | 0 | 4 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 7 | 6 | 2 | 9 | 0 | 4 | 9 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.