John Paul Kowalczyk, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME118694 Issued in FL

Practice address

4495 Military TRL
Suite 204
Jupiter, FL 33458-4839

Phone

(561) 296-1122

Fax

(561) 296-5566

NPI assigned

Apr 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Miami, LM Miller School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palm Beach DermatologyGroup PAC ID 6709864218, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: jkowalczyk@pbderm.emadirect.md
• Direct secure messaging: jkowalczyk20213@jupitermedicalcenter.direct-ci.com

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.

• PBD&P Inc

  • Dermatopathology Physician
  • West Palm Beach, FL
  • NPI 1689640328
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1477870459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 S BISCAYNE BLVD",
            "address_2": "UNIT 3309",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312360",
            "telephone_number": "954-695-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 MILITARY TRL",
            "address_2": "SUITE 204",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584839",
            "telephone_number": "561-296-1122",
            "fax_number": "561-296-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCZYK",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME118694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkowalczyk@pbderm.emadirect.md",
            "affiliation": "N",
            "address_1": "4495 Military Trl",
            "address_2": "Suite 204",
            "city": "Jupiter",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334584839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly C Komatz, MD
• Peter Komatz, ARNP
• Cara L Koplan, LCSW
• Don A Korwek, HAS
• Kathleen Ann Kosowsky, B.S., P.T.A.
• Aleksandra Kraeher, MD
• Scott Kramer, LMHC
• Shauna K Kranendonk, M.D.
• Luciana V Kremser, PA-C
• Anup Kubal, M.D.

• Dermatology Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.