MICHAEL JOHN ARCISZEWSKI, MBA MS CCP LP — NPI 1023622073 (Licensed & Credentialed Perfusionist in FARMINGTON, CT)

CMS-1500 Box 24J / 33a • NPI

1023622073

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

242T00000X

Licensed & Credentialed Perfusionist

Box 32 Service Location & ZIP+4

263 FARMINGTON AVE, FARMINGTON, CT, 06030-0002

✓ 9-Digit EDI 837 ZIP+4 (06030-0002)

Practice Phone & Referral Fax

(860) 679-4133

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1023622073 (MICHAEL JOHN ARCISZEWSKI, MBA MS CCP LP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1023622073` (NPI-1 Individual Practitioner)
Provider / Legal Name	MICHAEL JOHN ARCISZEWSKI, MBA MS CCP LP
Plain-English Specialty	Licensed & Credentialed Perfusionist NUCC Code: `242T00000X` (Perfusionist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	263 FARMINGTON AVE, FARMINGTON, CT, 06030-0002
Practice Telephone / Fax	Tel: (860) 679-4133
Administrative Mailing Address	122 COMMERCE ST, CLINTON, CT, 06413-2043
Enumeration & Last Sync	Enumerated: 2020-09-06 \| CMS Record Updated: 2020-09-06

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

263 FARMINGTON AVE, FARMINGTON, CT, 06030-0002

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Plain-English Taxonomy & CMS Crosswalk (242T00000X)

What Does Taxonomy Code 242T00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 242T00000X translates to:
"Licensed & Credentialed Perfusionist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Perfusionist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MICHAEL JOHN ARCISZEWSKI, MBA MS CCP LP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`242T00000X` — Perfusionist Plain English: Licensed & Credentialed Perfusionist	State: CT \| License: `97` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MICHAEL JOHN ARCISZEWSKI, MBA MS CCP LP (NPI #1023622073)