Nikolaus Wim Pankow, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME121008 Issued in FL

Practice address

2465 S State Road 7 Ste 800
Wellington, FL 33414-9348

Phone

(561) 798-3030

Fax

(561) 798-8242

NPI assigned

May 12, 2010

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 FL

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

Family Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Fairway Physical Therapy LLCGroup PAC ID 3971563222, 85 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nikolaus.pankow.1@26289.direct.athenahealth.com

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.

• Bocacare Inc

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1104058940
  Medicare reassignment Care Compare group NPD
• Fairway Physical Therapy LLC

  • Physical Therapist
  • Palm Beach Gardens, FL
  • NPI 1376557090
  Care Compare group
• Bocacare Inc

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1225845787
  NPD

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1194043315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 S STATE ROAD 7 STE 800",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149348",
            "telephone_number": "561-784-4930",
            "fax_number": "833-625-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 S STATE ROAD 7 STE 800",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149348",
            "telephone_number": "561-798-3030",
            "fax_number": "561-798-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKOW",
        "first_name": "NIKOLAUS",
        "middle_name": "WIM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME121008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Therapy and Health LLC
• Palm Orthopedic Joint &Spine Institute
• Kirsten Pancione, NP
• Heli Pandini, LMHC
• Editha Angelita Pangan, MD
• Stephanie Pantoja, ARNP
• Wendy Papalcure, SOCIAL WORKER
• Cassandra D Parfait
• Maureen Parkes, ARNP
• Dalecia Parks

• Family Medicine Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.