Organization Active NPI

Bozena Pawelek DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1073807848
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3454 Issued in FL
Legal business name
BOZENA PAWELEK DPM PA
Practice address
14221 SW 120TH St Ste 102
Miami, FL 33186-7292
Phone
(305) 752-5592
Fax
(305) 752-5593
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Bozena Pawelek, DPMNPI 1457641219
Title
President
Phone
(305) 770-4121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3454 FL Primary

Addresses

Primary practice location

14221 SW 120TH St Ste 102
Miami, FL 33186-7292

Mailing address

7517 SW 190TH St
Cutler Bay, FL 33157-7385
Phone (305) 752-5592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110727000611 FL Part B Supplier - Clinic/Group Practice 2365610813 Receives reassigned benefits from 1 practitioner
Practice locations: South Miami, FL; Miami, FL; Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

14221 SW 120th St
Ste 129
Miami, FL 33186
Phone (305) 279-1515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1073807848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 SW 190TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577385",
            "telephone_number": "305-752-5592",
            "fax_number": "305-752-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867292",
            "telephone_number": "305-752-5592",
            "fax_number": "305-752-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZENA PAWELEK DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "PAWELEK",
        "authorized_official_first_name": "BOZENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-770-4121",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.