Active NPI
John Anthony Pakiela, DO
- Emergency Medicine Physician
- Rockford, IL
National Provider Identifier
1265402036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036138517
- Practice address
- 8201 E Riverside Blvd
Rockford, IL 61114-2300 - Phone
- (815) 971-3333
- Fax
- (815) 971-0916
- NPI assigned
- Jan 25, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34-00-7227-P | OH | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 036-138517 | IL | |
| Emergency Medicine Physician | 207P00000X | 036138517 | IL | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 64315-21 | WI | |
| Emergency Medicine Physician | 207P00000X | 64315-21 | WI |
Addresses
Primary practice location
8201 E Riverside Blvd
Rockford, IL 61114-2300
Mailing address
29624 Network PL
Chicago, IL 60673-1296
Phone (815) 971-5000
Other practice location 1
N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone (262) 245-0535
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2256642 | Medicaid | OH | |
| 5619197341B83 | Other | OH | BLUECROSS BLUESHIELD |
Other names 1
- John A Pakiela
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036138517 | IL | MD | Emergency Medicine Physician |
| 036-138517 | IL | MD | Emergency Medical Services (Emergency Medicine) Physician |
| 64315-21 | WI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- jpakiela39424@direct.mhemail.org
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Barnesville, OH
- NPI 1043699200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1265402036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29624 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731296",
"telephone_number": "815-971-5000",
"fax_number": "815-968-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 E RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611142300",
"telephone_number": "815-971-3333",
"fax_number": "815-971-0916"
}
],
"practiceLocations": [
{
"address_1": "N2950 State Road 67",
"address_purpose": "LOCATION",
"city": "Lake Geneva",
"state": "WI",
"postal_code": "531472655",
"country_code": "US",
"telephone_number": "262-245-0535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAKIELA",
"first_name": "JOHN",
"middle_name": "ANTHONY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34-00-7227-P",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "IL",
"license": "036-138517",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036138517",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "WI",
"license": "64315-21",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "64315-21",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2256642",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "5619197341B83",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "PAKIELA",
"middle_name": "A",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.