Wieslaw Jozef Jakubowski, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J9715 Issued in TX

Practice address

5920 Saratoga Blvd
Ste.340
Corpus Christi, TX 78414-4103

Phone

(361) 985-2111

Fax

(361) 985-2422

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Wesley Joseph Jakubowski Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Children'S Physician Services of South Texas

  • Plastic Surgery Physician
  • Corpus Christi, TX
  • NPI 1568658227
  Medicare reassignment
• Children'S Physician Services of South Texas

  • Diagnostic Radiology Physician
  • Corpus Christi, TX
  • NPI 1598737124
  NPD (past)
• Tortuga Pediatrics PLLC

  • Pediatrics Physician
  • Corpus Christi, TX
  • NPI 1962212159
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1164512075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD",
            "address_2": "STE.340",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144103",
            "telephone_number": "361-985-2111",
            "fax_number": "361-985-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD",
            "address_2": "STE.340",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144103",
            "telephone_number": "361-985-2111",
            "fax_number": "361-985-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBOWSKI",
        "first_name": "WIESLAW",
        "middle_name": "JOZEF",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136442406",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "136442401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "89G070",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WESLEY",
            "last_name": "JAKUBOWSKI",
            "middle_name": "JOSEPH",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natalie Jaimes
• Stephanie Ann Jaimes
• Apeksha Pareshkumar Jain, PT
• Ashok Jain, M.D.
• Jyotirmaya Jain, DO
• Jeannette Jalomo, APRN
• Omar M. Jama, CSFA
• James H Shull MD, PLLC
• James M. May, M.D., P.a.
• James R. Spiering, D.C., P.C.

• Pediatrics Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.