Individual provider Active NPI

Brian M Jakubowicz, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Anderson, SC
National Provider Identifier
1043489289
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
81618 Issued in SC
Practice address
100 Healthy Way Ste 1260
Anderson, SC 29621-7918
Phone
(864) 225-3551
NPI assigned
Feb 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 81618 SC Primary

Addresses

Primary practice location

100 Healthy Way Ste 1260
Anderson, SC 29621-7918

Mailing address

100 Healthy Way
Ste 1260
Anderson, SC 29621-7918
Phone (864) 269-4416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090911000012 NJ Practitioner - Pain Management 7911052121
I20181101002715 SC Practitioner - Pain Management 7911052121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
New York Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Comprehensive Pain Management Group LLCGroup PAC ID 7012920945, 6 clinicians

Practice addresses (Care Compare)

100 Healthy Way
Suite 1260
Anderson, SC 29621-7918
Phone 86422535511136

Hospital & facility affiliations

  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023
  • Anmed Health Hospital, Anderson, SC, CCN 420027

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81618SCMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Comprehensive Pain Management Group LLC CurrentSince Aug 25, 2018 Accepting new patients
Piedmont Comprehensive Pain Management Group LLC CurrentSince Aug 25, 2018 Accepting new patients

Locations

100 Healthy Way
Ste 1260
Anderson, SC 29621
Phone (864) 225-3551

3 Saint Francis Dr
Ste 480
Greenville, SC 29601
Phone (864) 269-4416

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1043489289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY",
            "address_2": "STE 1260",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217918",
            "telephone_number": "864-269-4416",
            "fax_number": "864-328-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY STE 1260",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217918",
            "telephone_number": "864-225-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBOWICZ",
        "first_name": "BRIAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "81618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.