Active NPI
Gregory J Pulawski, MD
- Surgery Physician
- Indianapolis, IN
National Provider Identifier
1477647600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01059913
- Practice address
- 310 E 96TH St Ste 200
Indianapolis, IN 46240-3702 - Phone
- (317) 344-9490
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01059913 | IN | Primary |
Addresses
Primary practice location
310 E 96TH St Ste 200
Indianapolis, IN 46240-3702
Mailing address
9615 Irishmans Run LN
Zionsville, IN 46077-8375
Phone (317) 663-3137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200515550 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gregory.pulawskimd.p4@direct.ahni.nextgenshare.com | Direct | |
| Direct Messaging Address | gpulawski1477647600@direct.d4d.ihie.us | Franciscan Health Indianapolis & Mooresville |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01059913 | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulawskimd, LLC | Surgery | Current | Accepting new patients |
Locations
310 E 96th St
Ste 200
Indianapolis, IN 46240
Phone (317) 344-9490
Interoperability endpoints
- gregory.pulawskimd.p4@direct.ahni.nextgenshare.com
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 and National Provider Directory roles.
-
- Surgery Physician
- Indianapolis, IN
- NPI 1003690439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1477647600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9615 IRISHMANS RUN LN",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460778375",
"telephone_number": "317-663-3137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E 96TH ST STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462403702",
"telephone_number": "317-344-9490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULAWSKI",
"first_name": "GREGORY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01059913",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200515550",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gregory.pulawskimd.p4@direct.ahni.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "7151 Marsh Rd Ste 150",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462781631",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gpulawski1477647600@direct.d4d.ihie.us",
"affiliation": "Y",
"affiliationName": "Franciscan Health Indianapolis & Mooresville",
"address_1": "5230A East Stop 11 Road",
"address_2": "Suite 250",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462376399",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.