Mesquite Internal Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MESQUITE INTERNAL MEDICINE

Practice address

2379 Gus Thomasson Rd Ste 300
Mesquite, TX 75150-5302

Phone

(972) 613-3700

NPI assigned

Feb 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Piotr Jakubowski, MD

Title

President

Phone

(972) 613-3700

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1568503548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 GUS THOMASSON RD STE 300",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 GUS THOMASSON RD STE 300",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505302",
            "telephone_number": "972-613-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "JAKUBOWSKI",
        "authorized_official_first_name": "PIOTR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-613-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181892401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "07NH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mesquite Hospice
• Mesquite Ind School District
• Mesquite Independent School District
• Mesquite Independent School District
• Mesquite Injury Rehab
• Mesquite Medical & Surgical Clinic P.a.
• Mesquite Medical Clinic
• Mesquite Medical Group, LLC
• Mesquite Neurology Clinic PA
• Mesquite Nursing Center, L.P.

• Specialist in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.