Individual provider Active NPI

Maria Patricia Pawlikowski, M.D.

  • Internal Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1861658619
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2007011515 Issued in MO
Practice address
14897 Clayton Rd Ste 100
Chesterfield, MO 63017-7887
Phone
(636) 391-1706
Fax
(636) 391-1201
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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 2007011515 MO Primary

Addresses

Primary practice location

14897 Clayton Rd Ste 100
Chesterfield, MO 63017-7887

Mailing address

14897 Clayton Rd Ste 100
Chesterfield, MO 63017-7887
Phone (636) 391-1706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20120402000564 MO Practitioner - Internal Medicine 4587824362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West County Internal Medicine LLCGroup PAC ID 8820412414, 2 clinicians

Practice addresses (Care Compare)

16216 Baxter Rd
Suite 250
Chesterfield, MO 63017-4779
Phone (636) 391-1706

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007011515MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Physician Network, LLC CurrentSince Nov 7, 2012 Accepting new patients
West County Internal Medicine LLC Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Vpa PC Internal Medicine Past Accepting new patients
Vpa PC Internal Medicine PastSince Apr 28, 2024 Accepting new patients

Locations

16216 Baxter Rd
Ste 250
Chesterfield, MO 63017
Phone (636) 391-1706

16216 Baxter Rd
Ste 320
Chesterfield, MO 63017
Phone (636) 391-1706

1400 US Highway 61
Ste 210
Crystal Cty, MO 63028
Phone (636) 933-8050

1400 US Highway 61
Ste 240
Crystal Cty, MO 63028
Phone (636) 931-4913

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

1400 US Highway 61
Ste 320
Crystal Cty, MO 63028
Phone (636) 931-4913

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 1

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1861658619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14897 CLAYTON RD STE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177887",
            "telephone_number": "636-391-1706",
            "fax_number": "636-391-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14897 CLAYTON RD STE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177887",
            "telephone_number": "636-391-1706",
            "fax_number": "636-391-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLIKOWSKI",
        "first_name": "MARIA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2007011515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.