Individual provider Active NPI

Frank Pikul, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Belleville, IL
National Provider Identifier
1912959206
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
036088925 Issued in IL
Practice address
613 E Waters Edge Dr
Belleville, IL 62221-7815
Phone
(618) 233-6975
Fax
(618) 233-9047
NPI assigned
May 16, 2006
Last updated
Feb 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036088925 IL Primary

Addresses

Primary practice location

613 E Waters Edge Dr
Belleville, IL 62221-7815

Mailing address

613 E Waters Edge Dr
Belleville, IL 62221-7815
Phone (618) 233-6975

Other identifiers 1

IdentifierTypeStateIssuer
220033008OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036088925ILMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poplar Bluff Regional Medical Center LLC Past Accepting new patients
Pathology Associates of Terre Haute, Inc. Past Accepting new patients
CGH Medical Center Past Accepting new patients

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1912959206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 E WATERS EDGE DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217815",
            "telephone_number": "618-233-6975",
            "fax_number": "618-233-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 E WATERS EDGE DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217815",
            "telephone_number": "618-233-6975",
            "fax_number": "618-233-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKUL",
        "first_name": "FRANK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036088925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220033008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.