Active NPI
Beata B Nowakowska, M.D.
- Diagnostic Radiology Physician
- Largo, FL
National Provider Identifier
1043309610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME80757
- Practice address
- 1301 2ND Ave SW
Largo, FL 33770-3120 - Phone
- (727) 581-8767
- Fax
- (727) 559-0594
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 155455 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | ME80757 | FL | Primary |
Addresses
Primary practice location
1301 2ND Ave SW
Largo, FL 33770-3120
Mailing address
2568 Sweetgum Way W
Clearwater, FL 33761-3922
Phone (727) 735-5356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263859200 | Medicaid | FL |
Other names 1
- Dr. Beata B Nowakowska
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155455 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens Diagnostic Center, Inc | Past | Accepting new patients | |
| Quantum Medical Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
| American Health Imaging of Georgia, LLC | Past | Accepting new patients | |
| Boston University Medical Center Radiologists, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- Brandon, FL
- NPI 1477607117
-
dba American Health Imaging of Rome
- Radiology Clinic/Center
- Rome, GA
- NPI 1063129401
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1134166945
-
- Diagnostic Radiology Physician
- Smyrna, GA
- NPI 1164475869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1043309610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2568 SWEETGUM WAY W",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613922",
"telephone_number": "727-735-5356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 2ND AVE SW",
"city": "LARGO",
"state": "FL",
"postal_code": "337703120",
"telephone_number": "727-581-8767",
"fax_number": "727-559-0594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAKOWSKA",
"first_name": "BEATA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "155455",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME80757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263859200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BEATA",
"last_name": "NOWAKOWSKA",
"middle_name": "B",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.