NPIMap

Individual provider Active NPI

Joshua Martin Pogorelec, D.O., M.H.A.

  • Surgery Physician
  • Portage, WI
National Provider Identifier
1457564395
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
56092-021 Issued in WI
Practice address
2817 New Pinery Rd
Portage, WI 53901-9240
Phone
(608) 742-4131
Fax
(608) 742-6098
NPI assigned
May 8, 2007
Last updated
Oct 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 58002050 OH
Surgery Physician 208600000X 56092-021 WI Primary

Addresses

Primary practice location

2817 New Pinery Rd
Portage, WI 53901-9240

Mailing address

2817 New Pinery Rd
P.O. Box 387
Portage, WI 53901-9240
Phone (608) 742-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000784 WI Practitioner - General Surgery 1254500820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians

Practice addresses (Care Compare)

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.7 of 100Reported as group
Quality
91.14
Promoting interoperability
100
Improvement activities
40
Cost
77.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy40
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
58002050OHMDSurgery Physician
56092-021WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Savior Healthcare, Inc. CurrentSince Aug 29, 2011 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Aug 29, 2011 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

Interoperability endpoints

  • Direct secure messaging: jpogorelec159234@direct.aspirus.org

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aspirus Divine Savior HospitalPortage, WI, CCN 520041 Hospital Corporate Director Jan 31, 2020
Aspirus Wisconsin Rapids HospitalWisconsin Rapids, WI, CCN 520033 Hospital Corporate Director Sep 30, 2023
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI, CCN 520002 Hospital Corporate Director Sep 30, 2023
Aspirus Wisconsin Rapids Clinic - Peach StreetWisconsin Rapids, WI, CCN 528576 Rural health clinic Corporate Director Sep 30, 2023
Aspirus Wisconsin Rapids Clinic - Dewey StreetWisconsin Rapids, WI, CCN 528575 Rural health clinic Corporate Director Sep 30, 2023
Aspirus Nekoosa ClinicNekoosa, WI, CCN 528581 Rural health clinic Corporate Director Sep 30, 2023
Aspirus Oxford ClinicOxford, WI, CCN 528594 Rural health clinic Corporate Director Jan 31, 2020
Aspirus Portage ClinicPortage, WI, CCN 528593 Rural health clinic Corporate Director Jan 31, 2020
Aspirus Adams ClinicAdams, WI, CCN 528616 Rural health clinic Corporate Director Sep 30, 2023
Aspirus Clinic - MarshfieldMarshfield, WI, CCN 528661 Rural health clinic Corporate Director Sep 30, 2023

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1457564395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY RD",
            "address_2": "P.O. BOX 387",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019240",
            "telephone_number": "608-742-4131",
            "fax_number": "608-742-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019240",
            "telephone_number": "608-742-4131",
            "fax_number": "608-742-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGORELEC",
        "first_name": "JOSHUA",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.O., M.H.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "58002050",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "56092-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, WI

Sources for this page

Verify at the official NPI Registry.