NPIMap

Individual provider Active NPI

Jan Pawel Skowronski, M.D.

  • Cardiovascular Disease Physician
  • Birmingham, AL
National Provider Identifier
1790710283
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD.36793 Issued in AL
Practice address
3980 Colonnade Pkwy
Birmingham, AL 35243-2382
Phone
(205) 510-5000
NPI assigned
Jul 12, 2006
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 36112374 IL
Body Imaging Physician 2085B0100X 36112374 IL
Interventional Cardiology Physician 207RI0011X 36112374 IL
Cardiovascular Disease Physician 207RC0000X MD.36793 AL Primary
Nuclear Cardiology Physician 207UN0901X 36112374 IL
Vascular & Interventional Radiology Physician 2085R0204X 36112374 IL
Diagnostic Ultrasound Physician 2085U0001X 36112374 IL

Addresses

Primary practice location

3980 Colonnade Pkwy
Birmingham, AL 35243-2382

Mailing address

3500 Blue Lake Dr Ste 495
Vestavia, AL 35243-1975

Other practice location 1

209 W Spring St Ste 104
Sylacauga, AL 35150-2974
Phone (256) 245-5833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180612001685 AL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8022071497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

3980 Colonnade Pkwy
Birmingham, AL 35243-2382
Phone (205) 795-5390

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting48
Leg revascularization (restoring blood flow)46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36112374ILMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tombigbee Healthcare Authority CurrentSince Aug 23, 2021 Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients
Baptist Health Centers, LLC CurrentSince Aug 1, 2019 Accepting new patients
Tombigbee Healthcare Authority Family Medicine CurrentSince Aug 23, 2021 Accepting new patients
Tombigbee Healthcare Authority Current Accepting new patients
Baptist Health Centers LLC CurrentSince Aug 1, 2019 Accepting new patients
Rockford Cardiology Associates, LTD Cardiovascular Disease Past Accepting new patients
BW Orthopedic & Sports Medicine Practice LLC Past Accepting new patients
Cardiovascular Associates of the Southeast, L.L.C Cardiovascular Disease Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

3980 Colonnade Pkwy
Birmingham, AL 35243
Phone (205) 795-5390

833 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 783-3098

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

105 US Highway 80 E
Ste 230
Demopolis, AL 36732
Phone (334) 287-2840

Interoperability endpoints

  • Direct secure messaging: jskowronski64651@baptisthealthaldirect.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1790710283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 BLUE LAKE DR STE 495",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352431975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 COLONNADE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432382",
            "telephone_number": "205-510-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 W Spring St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Sylacauga",
            "state": "AL",
            "postal_code": "351502974",
            "country_code": "US",
            "telephone_number": "256-245-5833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOWRONSKI",
        "first_name": "JAN",
        "middle_name": "PAWEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "36112374",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "IL",
            "license": "36112374",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "36112374",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "MD.36793",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IL",
            "license": "36112374",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "36112374",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "IL",
            "license": "36112374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.