JAMES THOMAS PASTRNAK M.D.
NPI 1639528235
Physical Medicine & Rehabilitation in Indianapolis, IN

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment
355 W 16TH ST RM 4133, INDIANAPOLIS, IN 46202(317) 963-7286 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 27, 2021, Jun 15, 2020, Feb 24, 2020 and 2 more (5 updates tracked since 2017).

About James Thomas Pastrnak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES THOMAS PASTRNAK M.D. (NPI 1639528235) is an individual physical medicine & rehabilitation provider in Indianapolis, Indiana, licensed in Indiana (01085392A) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639528235
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameJAMES THOMAS PASTRNAKCredential: M.D.
Location Address355 W 16TH ST RM 4133Indianapolis, IN 46202-2207
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateJanuary 23, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1639528235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Licenses✔ Licensed in IN · 01085392A✔ Licensed in MI · 4301113144✔ Licensed in MI · 4301501690
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedSurgeryTaxonomy 208600000X · License LL39643 (SC)
355 W 16TH ST RM 4133, Indianapolis, IN 46202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Thomas Pastrnak M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941588891
PECOS Enrollment IDI20210728002180
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
397 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
295 services100 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
91 services84 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
82 services81 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

St Vincent Heart Center

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipProprietary
CMS Certification Number150153
Location10580 N Meridian StCarmel, IN 46290 · Hamilton County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers13 claims13 services$82.91 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier47 claims47 services$22.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Pastrnak's NPI number?

The NPI number for James Pastrnak is 1639528235. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is James Pastrnak located?

James Pastrnak practices at 355 W 16th St Rm 4133, Indianapolis, IN 46202. The listed phone number is (317) 963-7286.

What is James Pastrnak's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is James Pastrnak enrolled in Medicare?

Yes. James Pastrnak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Pastrnak accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list James Pastrnak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Pastrnak affiliated with any hospitals?

According to CMS data, James Pastrnak is affiliated with Indiana University Health, Ascension St Vincent Hospital and St Vincent Heart Center.

When was this NPI record last updated?

The NPPES record for James Pastrnak was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.