Individual provider Active NPI

James M Pawlus, M.D.

  • Diagnostic Radiology Physician
  • Naples, FL
National Provider Identifier
1447242946
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME61116 Issued in FL
Practice address
1441 Ridge St
Naples, FL 34103-4211
Phone
(239) 643-1155
Fax
(239) 643-9816
NPI assigned
Aug 19, 2005
Last updated
May 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME61116 FL Primary

Addresses

Primary practice location

1441 Ridge St
Naples, FL 34103-4211

Mailing address

PO Box 1187
Indianapolis, IN 46206-1187
Phone (888) 656-6020

Other identifiers 1

IdentifierTypeStateIssuer
058937300MedicaidFL

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 Medicine

State licenses

LicenseStateTypeSpecialty
ME61116FLMDDiagnostic Radiology Physician
61116FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Health Centers PA Diagnostic Radiology Past Accepting new patients
Morgan Medical Corp Diagnostic Radiology Past Accepting new patients
Health Diagnostics of Orlando, LLC Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1447242946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1187",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061187",
            "telephone_number": "888-656-6020",
            "fax_number": "317-705-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 RIDGE ST",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034211",
            "telephone_number": "239-643-1155",
            "fax_number": "239-643-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLUS",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME61116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058937300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.