Individual provider Active NPI

Scott Andrew Pawlikowski, M.D.

  • Internal Medicine Physician
  • Hines, IL
National Provider Identifier
1720187594
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
Edward Hines, Jr. VA Hospital
Mail Code 111, Building 200, Room 1401
Hines, IL 60141
Phone
(708) 202-8387
Fax
(708) 202-2776
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

Edward Hines, Jr. VA Hospital
Mail Code 111, Building 200, Room 1401
Hines, IL 60141

Mailing address

2422 Cimarron CT
Naperville, IL 60565-3361
Phone (708) 202-8387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20160302002363 IL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7416128509

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-109597ILMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720187594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 CIMARRON CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653361",
            "telephone_number": "708-202-8387",
            "fax_number": "708-202-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDWARD HINES, JR. VA HOSPITAL",
            "address_2": "MAIL CODE 111, BUILDING 200, ROOM 1401",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-8387",
            "fax_number": "708-202-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLIKOWSKI",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hines, IL

Sources for this page

Verify at the official NPI Registry.