NPIMap

Individual provider Active NPI

Jan Pomiecko, MD

  • Family Medicine Physician
  • White Oak, PA
National Provider Identifier
1619949385
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD074010L Issued in PA
Practice address
1668 Lincoln Way
Second Floor
White Oak, PA 15131-1714
Phone
(412) 678-8740
Fax
(478) 678-0772
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD074010L PA Primary

Addresses

Primary practice location

1668 Lincoln Way
Second Floor
White Oak, PA 15131-1714

Mailing address

1668 Lincoln Way
Second Floor
White Oak, PA 15131-1714
Phone (412) 678-8740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040830000458 PA Practitioner - Family Practice 7810962206 Practice locations: White Oak, PA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1668 Lincoln Way
White Oak, PA 15131-1714
Phone (412) 678-8740

Hospital & facility affiliations

  • Ospta at Home Home health agency, Belle Vernon, PA, CCN 397798
  • Allegheny Health Network Healthcare at Home Home H Home health agency, Warrendale, PA, CCN 398069
  • Upmc McKeesport Hospital Hospital, MC Keesport, PA, CCN 390002
  • Upmc East Hospital, Monroeville, PA, CCN 390328
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD074010LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc Family Medicine Past Accepting new patients
Upmc Community Medcine Inc Family Medicine Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1619949385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 LINCOLN WAY",
            "address_2": "SECOND FLOOR",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311714",
            "telephone_number": "412-678-8740",
            "fax_number": "478-678-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 LINCOLN WAY",
            "address_2": "SECOND FLOOR",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311714",
            "telephone_number": "412-678-8740",
            "fax_number": "478-678-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMIECKO",
        "first_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD074010L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

Verify at the official NPI Registry.