Individual provider Active NPI

Pawel A Kalwinski, M.D.

  • Family Medicine Physician
  • North Port, FL
National Provider Identifier
1467540559
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME80160 Issued in FL
Practice address
13823 Tamiami TRL
North Port, FL 34287-2069
Phone
(941) 888-0770
Fax
(941) 888-0778
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME80160 FL Primary

Addresses

Primary practice location

13823 Tamiami TRL
North Port, FL 34287-2069

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other identifiers 3

IdentifierTypeStateIssuer
262938100MedicaidFL
7131311OtherFLAETNA
06032OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, MN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070424000246 FL Practitioner - Family Practice 9234234006 Reassigns benefits to 1 organization
I20260225002200 SC Practitioner - Family Practice 9234234006 Reassigns benefits to 1 organization
I20260423000468 MN Practitioner - Family Practice 9234234006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

1018 6TH Ave
Worthington, MN 56187-2202
Phone (507) 372-3800

1200 E Main St
Suite 12
Spartanburg, SC 29307-1738
Phone (864) 560-9260

13823 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 888-0770

1680 Diagonal Rd
Worthington, MN 56187-1008
Phone (507) 372-3800

Hospital & facility affiliations

  • Sanford Worthington Medical Center Hospital, Worthington, MN, CCN 240022
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80160FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Family Medicine CurrentSince Sep 19, 2022 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Sep 19, 2022 Accepting new patients
Spartanburg Medical Center CurrentSince Jan 20, 2026 Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Jan 20, 2026 Accepting new patients

Locations

406 N Indiana Ave
Ste 4
Englewood, FL 34223
Phone (941) 474-6474

3000 S McCall Rd
Englewood, FL 34224
Phone (941) 406-9029

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

13823 Tamiami Trl
North Port, FL 34287
Phone (941) 888-0770

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

1200 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 560-9260

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: pawel.kalwinski.1@4290.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1467540559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13823 TAMIAMI TRL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872069",
            "telephone_number": "941-888-0770",
            "fax_number": "941-888-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALWINSKI",
        "first_name": "PAWEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME80160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262938100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7131311",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06032",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.