Active NPI
Piotr Waldemar Jakubowski, M.D.
- Internal Medicine Physician
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J9111
- Practice address
- 2379 Gus Thomasson Rd
Suite 300
Mesquite, TX 75150-5302 - Phone
- (972) 613-3700
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J9111 | TX | Primary |
Addresses
Primary practice location
2379 Gus Thomasson Rd
Suite 300
Mesquite, TX 75150-5302
Mailing address
2379 Gus Thomasson Rd
Suite 300
Mesquite, TX 75150-5302
Phone (972) 613-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2920 N Stemmons Fwy
Dallas, TX 75247-6103
Phone (214) 630-2331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J9111 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care, P.a. | Current | Accepting new patients | |
| American Current Care, P.a. | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients |
Locations
15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255
2920 N Stemmons Fwy
Dallas, TX 75247
Phone (214) 467-8210
1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571
12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1275651002
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Urgent Care Clinic/Center
- Mesquite, TX
- NPI 1972792554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609948652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2379 GUS THOMASSON RD",
"address_2": "SUITE 300",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751505302",
"telephone_number": "972-613-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2379 GUS THOMASSON RD",
"address_2": "SUITE 300",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751505302",
"telephone_number": "972-613-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAKUBOWSKI",
"first_name": "PIOTR",
"middle_name": "WALDEMAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J9111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.