Individual provider Active NPI

Halina E Polek-Nowakowska, MD

  • Gastroenterology Physician
  • Gonzales, LA
National Provider Identifier
1861598658
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
12975R Issued in LA
Practice address
14076 Highway 44
Gonzales, LA 70737-6901
Phone
(225) 647-6900
Fax
(225) 644-1453
NPI assigned
Sep 16, 2006
Sex
Female
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
Gastroenterology Physician 207RG0100X 12975R LA Primary

Addresses

Primary practice location

14076 Highway 44
Gonzales, LA 70737-6901

Mailing address

2050 E Evergreen St
Gonzales, LA 70737-4913
Phone (225) 647-6900

Other identifiers 5

IdentifierTypeStateIssuer
G1371OtherLABC 5 DIGIT
2208674OtherLAAETNA
1556785MedicaidLA
2767289001OtherLACIGNA
29-00182OtherLAUHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20110609000750 LA Practitioner - GastroenterologyPractitioner - Internal Medicine 1759449127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary and Digestive Clinic, Inc.Group PAC ID 7517916612, 2 clinicians

Practice addresses (Care Compare)

1429 E Hwy 30
Gonzales, LA 70737-4765
Phone (225) 229-9377

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.71 of 100Reported as individual
Quality
66.71
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy100
Upper gastrointestinal (GI) endoscopy for acid reflux88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12975RLAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary & Digestive Clinic Inc Gastroenterology CurrentSince May 1, 2001 Accepting new patients
Sleep Clinic LLC PastSince May 1, 2001 Accepting new patients

Locations

14076 Highway 44
Gonzales, LA 70737
Phone (225) 647-6900

1429 E Highway 30
Gonzales, LA 70737
Phone (225) 229-9377

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

Interoperability endpoints

  • Direct secure messaging: halina.polek-nowakowska.1@12094.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12094/brand/1/csg/1/fhir/r4

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 8

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861598658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 E EVERGREEN ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374913",
            "telephone_number": "225-647-6900",
            "fax_number": "225-644-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14076 HIGHWAY 44",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376901",
            "telephone_number": "225-647-6900",
            "fax_number": "225-644-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEK-NOWAKOWSKA",
        "first_name": "HALINA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "12975R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC 5 DIGIT",
            "identifier": "G1371",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2208674",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1556785",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2767289001",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "29-00182",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.