Individual provider Active NPI

Ronald C Pawlowski, D.O.

  • Family Medicine Physician
  • Hanover Park, IL
National Provider Identifier
1932273554
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
1250 Bamburg CT
Hanover Park, IL 60133-5257
Phone
(630) 837-9460
Fax
(630) 837-7640
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

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
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

1250 Bamburg CT
Hanover Park, IL 60133-5257

Mailing address

1250 Bamburg CT
Hanover Park, IL 60133-5257
Phone (630) 837-9460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20120411000392 IL Practitioner - Family Practice 4880855253 Practice locations: Hanover Park, IL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1250 Bamberg CT
Hanover Park, IL 60133-5257
Phone (630) 837-9460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.92 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
56.39

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement20
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-066757ILMDFamily Medicine Physician

Hospital & facility affiliations 9

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932273554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 BAMBURG CT",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335257",
            "telephone_number": "630-837-9460",
            "fax_number": "630-837-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BAMBURG CT",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335257",
            "telephone_number": "630-837-9460",
            "fax_number": "630-837-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLOWSKI",
        "first_name": "RONALD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

Sources for this page

Verify at the official NPI Registry.