Individual provider

Ronald Pluszczynski, M.D.

Obstetrics & Gynecology Physician Medicare enrolled

Ronald Pluszczynski, M.D. is an Obstetrics & Gynecology Physician in Sturgeon Bay, WI, registered under NPI 1952303919.

Getting there

The practice address on file is 323 S 18TH AVE, Sturgeon Bay, WI 54235. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

323 S 18TH AVE, Sturgeon Bay, WI 54235 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
74443 MT Obstetrics & Gynecology Physician primary
RP407341 MI Obstetrics & Gynecology Physician
MD463673 PA Obstetrics & Gynecology Physician

Licences are recorded in 3 states: MT, MI, PA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Obstetrics/gynecology
PAC ID
6002806346

Enrolled in Medicare 4 times, across 4 states:

StateEnrollment IDProvider type
Michigan I20040517001426 Practitioner - Obstetrics/gynecology
Pennsylvania I20180403001187 Practitioner - Obstetrics/gynecology
Montana I20190417001904 Practitioner - Obstetrics/gynecology
Wisconsin I20191118000486 Practitioner - Obstetrics/gynecology

Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. There are 4 separate enrolment records across 4 states (MI, PA, MT, WI). 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.

Licensed in 3 states

This provider holds licences in 3 states: Michigan, Montana and Pennsylvania. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MI Michigan
Licence
RP407341
Specialty
Obstetrics & Gynecology Physician
Verify with the MI board →
MT Montana
Licence
74443
Specialty
Obstetrics & Gynecology Physician
Verify with the MT board →
PA Pennsylvania
Licence
MD463673
Specialty
Obstetrics & Gynecology Physician
Verify with the PA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Obstetrics & Gynecology covers

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NUCC Health Care Provider Taxonomy, code 207V00000X
Allopathic & Osteopathic Physicians Obstetrics & Gynecology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207V00000X Obstetrics & Gynecology Physician 74443 MT primary
207V00000X Obstetrics & Gynecology Physician RP407341 MI
207V00000X Obstetrics & Gynecology Physician MD463673 PA

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.

NPI1952303919 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 2, 2005
Last updatedNov 9, 2023
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 746-0510
Mailing address 7 BOONE LN
Dearborn, MI 48120
Other identifiers 2696809 · Medicaid (MI)
160009590 · Other (MI)
This record was updated on Nov 9, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1952303919 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 9 5 2 3 0 3 9 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 1 2 6 0 6 9 2

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

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.

Common questions

What is NPI number 1952303919?
NPI 1952303919 is the National Provider Identifier assigned to Ronald Pluszczynski, M.D. in Sturgeon Bay, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Obstetrics & Gynecology Physician cover?
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
How do I contact Ronald Pluszczynski, M.D.?
The phone number on file with NPPES is (920) 746-0510, last updated Nov 9, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ronald Pluszczynski, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1952303919 a valid number?
Yes. 1952303919 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.