Active NPI
Jacek Henryk Pieta, MD
- Pulmonary Disease Physician
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME153904
- Practice address
- 1726 Medical Blvd Ste 101
Naples, FL 34110-1426 - Phone
- (239) 624-8250
- Fax
- (239) 624-8251
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME153904 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 036087837 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036087837 | IL | |
| Internal Medicine Physician | 207R00000X | ME153904 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036087837 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME153904 | FL |
Addresses
Primary practice location
1726 Medical Blvd Ste 101
Naples, FL 34110-1426
Mailing address
311 9TH St. N.
Suite 304
Naples, FL 34102
Phone (239) 624-8250
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036087837 | Medicaid | IL | |
| 118420400 | Medicaid | FL | |
| 02215074 | Other | IL | BLUE SHIELD PROVIDER NUMB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070208000081 | IL | Practitioner - Pulmonary Disease | 4981606720 | Reassigns benefits to 1 organization |
| I20230616000291 | FL | Practitioner - Pulmonary Disease | 4981606720 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nchmd Inc
Practice addresses (Care Compare)
311 9TH St N
Suite 304
Naples, FL 34102-5887
Phone (239) 261-5330
Hospital & facility affiliations
- Trilogy Home Healthcare
- Naples Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.25 of 100
- Quality
- 87.73
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME153904 | FL | MD | Pulmonary Disease Physician |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nchmd, Inc | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Midwest Pulmonary Associates S.C. | Internal Medicine | Current | Accepting new patients |
Locations
311 Tamiami Trl N
Ste 304
Naples, FL 34102
Phone (239) 624-2730
1726 Medical Blvd
Ste 101
Naples, FL 34110
Phone (239) 513-1992
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
800 Biesterfield Rd
Ste 4002
Elk Grove Village, IL 60007
Phone (630) 655-1229
2340 S Highland Ave
Ste 23
Lombard, IL 60148
2340 S Highland Ave
Ste 230
Lombard, IL 60148
Phone (630) 932-2040
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- jpieta62137@nchhealthcaresystem.direct-ci.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Lombard, IL
- NPI 1790743417
IL, Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Naples, FL
- NPI 1033904651
-
- Durable Medical Equipment & Medical Supplies
- Naples, FL
- NPI 1477348092
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fort Myers, FL
- NPI 1376517862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1821056540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 9TH ST. N.",
"address_2": "SUITE 304",
"city": "NAPLES",
"state": "FL",
"postal_code": "34102",
"telephone_number": "239-624-8250",
"fax_number": "239-624-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1726 MEDICAL BLVD STE 101",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101426",
"telephone_number": "239-624-8250",
"fax_number": "239-624-8251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETA",
"first_name": "JACEK",
"middle_name": "HENRYK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME153904",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036087837",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036087837",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME153904",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036087837",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME153904",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036087837",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118420400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER NUMB",
"identifier": "02215074",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.