John Paul Pacanowski, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

31087 Issued in AZ

Practice address

2404 E River Rd BLDG 2
Tucson, AZ 85718-6520

Phone

(520) 882-7117

Fax

(520) 838-2238

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Specialty

Vascular SurgeryAlso: General Surgery

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Advanced Surgery LLCGroup PAC ID 0547690166, 93 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Benson Hospital Hospital, Benson, AZ, CCN 031301
• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
• Northern Cochise Community Hospital, Inc. Hospital, Willcox, AZ, CCN 031302

Merit-based Incentive Payment System (MIPS)

Final score

94.9 of 100Reported as group

Promoting interoperability

94

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

90.17 of 100Reported as group

Quality

83.77

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Advanced Surgery LLC

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1346880838
  Medicare reassignment Care Compare group NPD
• Endovascular Consultants of Colorado PC

  • Vascular & Interventional Radiology Physician
  • Lone Tree, CO
  • NPI 1699316711
  NPD
• Endovascular Consultants of Colorado, PC

  • Vascular & Interventional Radiology Physician
  • Pueblo, CO
  • NPI 1720845423
  NPD
• Pima Heart Physicians, PC

  dba Pima Heart & Vascular

  • Cardiovascular Disease Physician
  • Sierra Vista, AZ
  • NPI 1003081803

  Vascular Surgery

  NPD (past)
• Orlando Health Inc

  dba Orlando Regional Pediatric Anesthesia Consultants

  • Pediatric Anesthesiology Physician
  • Orlando, FL
  • NPI 1457489767
  NPD (past)

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

• Benson Hospital Corporation

  • Critical Access Hospital
  • Benson, AZ
  • NPI 1336118322
  Care Compare affiliation
• Northern Cochise Community Hospital Inc

  • Critical Access Hospital
  • Willcox, AZ
  • NPI 1013060367
  Care Compare affiliation
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083606669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N CAMPBELL AVE STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191563",
            "telephone_number": "520-838-2138",
            "fax_number": "520-749-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 E RIVER RD BLDG 2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186520",
            "telephone_number": "520-882-7117",
            "fax_number": "520-838-2238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5240 E Knight Dr",
            "address_2": "Suite 116",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122122",
            "country_code": "US",
            "telephone_number": "520-320-5665",
            "fax_number": "520-320-1377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5240 E Knight Dr",
            "address_2": "Suite 116",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122122",
            "country_code": "US",
            "telephone_number": "520-320-5665",
            "fax_number": "520-320-1377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACANOWSKI",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "31087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P'Okot LLC (Rose Garden Senior Care)
• P&S R.N. First Assist, LLC
• P3 Health Partners Professional Services PC
• Fred G. Paavola, RPH
• Crystal Pacanowski, M.D.
• Brittany Lanee Pace, M.D.
• Chantal Pace, RBT
• Lincoln Pace, DDS
• Francisco Pacheco, MD
• Gabriel Pacheco, RBT

• Vascular Surgery Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Vascular Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.