Active NPI
Dane Stephen Pawlowski, MD
- Family Medicine Physician
- Rio Grande City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- S1483
- Practice address
- 128 N FM 3167
Rio Grande City, TX 78582 - Phone
- (956) 487-9025
- Fax
- (956) 487-4680
- NPI assigned
- Jul 11, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | S1483 | TX | |
| Family Medicine Physician | 207Q00000X | S1483 | TX | Primary |
Addresses
Primary practice location
128 N FM 3167
Rio Grande City, TX 78582
Mailing address
PO Box 749
Pharr, TX 78577-1614
Phone (956) 487-9025
Other practice location 1
11130 Christus Hls
3rd Floor
San Antonio, TX 78251-3585
Phone (210) 703-9001
Other practice location 2
11130 Christus Hls
3rd Floor
San Antonio, TX 78251-3585
Phone (210) 703-9001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190613002862 | TX | Practitioner - Family Practice | 4486947975 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas a & M University System, HSC, College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Privia Medical Group Gulf Coast PLLC
Practice addresses (Care Compare)
17510 W Grand Pkwy S
Sugar Land, TX 77479-2649
3201 University Dr E
200 Brazos Valley Family and Preventative
Bryan, TX 77802-3431
Phone (979) 272-4156
7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500
Hospital & facility affiliations
- Allumine Home Health
- CHI St Joseph Health Regional Hospital
- Physicians Centre,the
- Baylor Scott & White Medical Center- College Stati
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1483 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Gulf Coast PLLC | Current | Accepting new patients | |
| Privia Medical Group Gulf Coast, PLLC | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
3201 University Dr E
Ste 200
Bryan, TX 77802
Phone (979) 268-7914
646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027
110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276
10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500
17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820
Interoperability endpoints
- dane.pawlowski.1@8042.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Obstetrics & Gynecology Physician
- Houston, TX
- NPI 1578969465
TX
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
Emergency Medicine, TX
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1457167033
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1639985211
-
- Podiatrist
- Austin, TX
- NPI 1689267783
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bryan, TX
- NPI 1801817135
Hospital
-
- Home Health Agency
- College Station, TX
- NPI 1881995710
-
- General Acute Care Hospital
- College Station, TX
- NPI 1265772362
Hospital
-
- General Acute Care Hospital
- College Station, TX
- NPI 1053963009
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1104278464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "PHARR",
"state": "TX",
"postal_code": "785771614",
"telephone_number": "956-487-9025",
"fax_number": "956-487-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 N FM 3167",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "78582",
"telephone_number": "956-487-9025",
"fax_number": "956-487-4680"
}
],
"practiceLocations": [
{
"address_1": "11130 Christus Hls",
"address_2": "3rd Floor",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782513585",
"country_code": "US",
"telephone_number": "210-703-9001",
"fax_number": "210-703-9155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11130 Christus Hls",
"address_2": "3rd Floor",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782513585",
"country_code": "US",
"telephone_number": "210-703-9001",
"fax_number": "210-703-9155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAWLOWSKI",
"first_name": "DANE",
"middle_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-11",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "S1483",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S1483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.