Individual provider Active NPI

Paul Kevin Jaszewski, MD

  • Anesthesiology Physician
  • Charlotte, NC
National Provider Identifier
1356339873
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
38099 Issued in NC
Practice address
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone
(704) 355-2000
NPI assigned
Oct 10, 2005
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 38099 NC
Anesthesiology Physician 207L00000X 38099 NC Primary

Addresses

Primary practice location

1000 Blythe Blvd
Charlotte, NC 28203-5812

Mailing address

6135 Park South Dr Ste 510
Charlotte, NC 28210-0100
Phone (704) 749-3116

Other identifiers 2

IdentifierTypeStateIssuer
8945852MedicaidNC
N38099MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081205000403 NC Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 5991866154 Reassigns benefits to 5 organizations
I20120405000448 SC Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 5991866154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of Wisconsin School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

433 McAlister Rd
Lincolnton, NC 28092-4147
Phone (980) 212-2000

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-2325

706 W King St
Kings Mountain, NC 28086-2708
Phone (980) 487-5000

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Jul 5, 1989 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Anesthesiology CurrentSince Oct 1, 2018 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Sep 1, 2011 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Jul 5, 1989 Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Dec 15, 2015 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Oct 1, 2018 Accepting new patients
Providence Anesthesiology Associates, P.a. Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
Southeast Pain Management Services, PLLC Pain Medicine Past Accepting new patients
Anesthesiology Consultants of South Carolina, PLLC Anesthesiology Past Accepting new patients
Southeast Pain & Spine Care Specialists, LLC PastSince Dec 22, 2024 Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

16455 Statesville Rd
Ste 100
Huntersville, NC 28078
Phone (704) 801-1701

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

2520 Independence Blvd
Ste 200
Wilmington, NC 28412
Phone (910) 442-1100

118 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3124

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDEHDD

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1356339873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 PARK SOUTH DR STE 510",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282100100",
            "telephone_number": "704-749-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-355-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASZEWSKI",
        "first_name": "PAUL",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "38099",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "38099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945852",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N38099",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.