Individual provider Active NPI

John S Pastorek, MD

  • Pediatric Cardiology Physician
  • Savannah, GA
National Provider Identifier
1912012741
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
052802 Issued in GA
Practice address
4750 Waters Ave
Suite 512
Savannah, GA 31404-6200
Phone
(912) 350-8085
Fax
(912) 350-3703
NPI assigned
Aug 20, 2006
Last updated
Dec 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 052802 GA Primary

Addresses

Primary practice location

4750 Waters Ave
Suite 512
Savannah, GA 31404-6200

Mailing address

4700 Waters Ave
2ND Floor Ga Ear
Savannah, GA 31404-6220
Phone (912) 988-5050

Other identifiers 1

IdentifierTypeStateIssuer
00886003BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20070726000225 GA Practitioner - Cardiovascular Disease (Cardiology) 7416058078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Northeastern Ohio University College of Medicine, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Savannah Children's Heart Center, PCGroup PAC ID 6002917465, 4 clinicians

Practice addresses (Care Compare)

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 988-5050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Children's Heart Center, PC Pediatric Cardiology CurrentSince Nov 20, 2010 Accepting new patients
Asheville Cardiology Associates Past Accepting new patients
MMH-Cor Enterprises IV LLC Past Accepting new patients

Locations

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

4700 Waters Ave
Bldg 400
Savannah, GA 31404
Phone (912) 350-3438

4700 Waters Ave
Fl 2
Savannah, GA 31404
Phone (912) 350-6277

4750 Waters Ave
Ste 512
Savannah, GA 31404
Phone (912) 350-8085

Interoperability endpoints

  • Direct secure messaging: jpastorek@schc.gwaydirect.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1912012741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "address_2": "2ND FLOOR GA EAR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-988-5050",
            "fax_number": "912-988-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE",
            "address_2": "SUITE 512",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046200",
            "telephone_number": "912-350-8085",
            "fax_number": "912-350-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTOREK",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "GA",
            "license": "052802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00886003B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.