Individual provider Active NPI

Bozena Pawelek, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1457641219
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 3454 Issued in FL
Practice address
14221 SW 120TH St
Suite 129
Miami, FL 33186-7236
Phone
(305) 752-5592
Fax
(305) 752-5593
NPI assigned
Apr 13, 2011
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO 3454 FL Primary

Addresses

Primary practice location

14221 SW 120TH St
Suite 129
Miami, FL 33186-7236

Mailing address

7517 SW 109TH St
Cutler Bay, FL 33157-7385
Phone (305) 752-5592

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110727000685 FL Practitioner - Podiatry 4486822087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14221 SW 120TH St
Suite 102
Miami, FL 33186-7292
Phone (305) 752-5592

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as individual
Quality
70
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue122
Removal of skin lesions45
Removal of nail tissue108
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 3454FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bozena Pawelek DPM PA Foot & Ankle Surgery CurrentSince Jul 1, 2011 Accepting new patients

Locations

14221 SW 120th St
Ste 102
Miami, FL 33186
Phone (305) 382-6590

14221 SW 120th St
Ste 129
Miami, FL 33186
Phone (305) 279-1515

Interoperability endpoints

  • Direct secure messaging: bozena70@bpp-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, 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": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1457641219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 SW 109TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577385",
            "telephone_number": "305-752-5592",
            "fax_number": "305-752-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST",
            "address_2": "SUITE 129",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867236",
            "telephone_number": "305-752-5592",
            "fax_number": "305-752-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWELEK",
        "first_name": "BOZENA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.