Individual provider Active NPI

Jacek Henryk Pieta, MD

  • Pulmonary Disease Physician
  • Naples, FL
National Provider Identifier
1821056540
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME153904 Issued in FL
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

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036087837MedicaidIL
118420400MedicaidFL
02215074OtherILBLUE SHIELD PROVIDER NUMB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070208000081 IL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 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 503 clinicians

Practice addresses (Care Compare)

311 9TH St N
Suite 304
Naples, FL 34102-5887
Phone (239) 261-5330

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
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

LicenseStateTypeSpecialty
ME153904FLMDPulmonary Disease Physician

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Jun 8, 2023 Accepting new patients
Nchmd Inc CurrentSince Jun 8, 2023 Accepting new patients
Midwest Pulmonary Associates S.C. Internal Medicine CurrentSince Jan 1, 1999 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.