Individual provider Active NPI

Lukasz Dabrowski, M.D.

  • Pediatrics Physician
  • Marion, IL
National Provider Identifier
1467711796
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036138059 Issued in IL
Practice address
3106 Outer Dr
Marion, IL 62959-5270
Phone
(618) 997-4332
Fax
(618) 969-8628
NPI assigned
May 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036138059 IL Primary

Addresses

Primary practice location

3106 Outer Dr
Marion, IL 62959-5270

Mailing address

PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200

Other practice location 1

405 Rushing Dr
Herrin, IL 62948-3730
Phone (618) 993-3300

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ldabrowski14022@sih.direct-ci.com
Direct Messaging Address ldabrowski14022@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150624001342 IL Practitioner - Pediatric Medicine 6002127529 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036138059ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Medical Services, NFP CurrentSince Jul 27, 2015 Accepting new patients
Harrisburg Medical Center Inc CurrentSince Sep 17, 2023 Accepting new patients
Harrisburg Medical Center Inc Past Accepting new patients
Harrisburg Medical Center Inc Past Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

405 Rushing Dr
Herrin, IL 62948
Phone (618) 993-3300

3106 Outer Dr
Marion, IL 62959
Phone (618) 997-4332

Interoperability endpoints

  • Direct secure messaging: ldabrowski14022@sih.direct-ci.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/harrisb-43985171

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1467711796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3988",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023988",
            "telephone_number": "618-457-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 OUTER DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595270",
            "telephone_number": "618-997-4332",
            "fax_number": "618-969-8628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Rushing Dr",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483730",
            "country_code": "US",
            "telephone_number": "618-993-3300",
            "fax_number": "618-993-0262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABROWSKI",
        "first_name": "LUKASZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036138059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldabrowski14022@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "405 Rushing Dr",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldabrowski14022@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "3106 Outer Dr",
            "city": "Marion",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629595270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.