Peter Mikolajczak, M.D.
Peter Mikolajczak, M.D. is a Clinical Cardiac Electrophysiology Physician in Bridgeton, MO, registered under NPI 1790978252. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 12266 DE PAUL DR STE 205, Bridgeton, MO 63044. 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 |
|---|---|---|
| 2009015779 | MO | Clinical Cardiac Electrophysiology… primary |
| 2009015779 | MO | Cardiovascular Disease Physician |
This provider holds licence 2009015779 issued in MO. 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 - Cardiac Electrophysiology
- PAC ID
- 3476607367
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Missouri | I20090811000726 | Practitioner - Cardiac Electrophysiology |
| Illinois | I20150129001229 | Practitioner - Cardiac Electrophysiology |
Medicare enrolment is recorded as approved under the provider type Practitioner - Cardiac Electrophysiology. There are 2 separate enrolment records across 2 states (MO, IL). 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 Clinical Cardiac Electrophysiology covers
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. NUCC Health Care Provider Taxonomy, code 207RC0001X
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 | |
|---|---|---|---|---|
| 207RC0001X | Clinical Cardiac Electrophysiology Physician Clinical Cardiac Electrophysiology | 2009015779 | MO | primary |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | 2009015779 | MO |
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 | 1790978252 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 19, 2007 |
| Last updated | Oct 23, 2020 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | M.D. |
| Practice address |
12266 DE PAUL DR STE 205 Bridgeton, MO 63044 (314) 218-2300 |
| Mailing address |
PO BOX 955534 Saint Louis, MO 63195 |
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 | 7 | 9 | 0 | 9 | 7 | 8 | 2 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 9 | 0 | 9 | 7 | 7 | 2 | 1 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
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.