Jasmine Kyla Polkowske, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MMD.95051 Issued in SC

Practice address

169 Ashley Avenue
Charleston, SC 29425

Phone

(843) 792-1767

NPI assigned

Mar 18, 2024

Sex

Female

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 SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jasmine.polkowske@hca3.eclinicaldirectplus.com

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1124887617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS",
            "address_2": "MSC 323",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294253230",
            "telephone_number": "843-792-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVENUE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "843-792-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLKOWSKE",
        "first_name": "JASMINE",
        "middle_name": "KYLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "MMD.95051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polestar Health and Wellness
• Amanda Polhemus
• Cynthia Poliard, PT
• Ashley Nicole Rose Polk
• James Polk, DO
• Ross B Pollack, MD
• Thomas Andrew Pollehn, MD
• Logan Polsinello
• Keith Franklin Lamar Polston, MD
• Baylee Rose Polzin, MD

• Diagnostic Radiology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.