DR. JACK PIENIAZEK (DO) – Family Medicine Physician, NPI 1164426870

DR. JACK PIENIAZEK (DO) is a healthcare provider. based in Pearland, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. K0541 (TX). The NPI Number for DR. JACK PIENIAZEK (DO) is 1164426870

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK PIENIAZEK (DO)
NPI
1164426870
Phone
(713) 442-0000
Address
11511 SHADOW CREEK PKWY
Enumeration Date
9 June 2005
Last Update Date
15 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
7134421800
Graduation Year
1995 (31 years ago)
PAC ID
7719975671
Group Practice PAC ID
9739093527
Professional Enrollment ID
I20040802001568
Address ID
TX773843000SH106XXBLVD400

Contacts

Secure Messaging
jpieniazek31651@direct.kelsey-seybold.com
FHIR Endpoint
https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DR. JACK PIENIAZEK (DO)

  • Shadow Creek Parkway, Pearland, Brazoria County, Texas, 77047-4593, United States

    PEARLAND, TX 775847298

    Phone: (713) 442-0000

    Type: Mailing

  • 690, South Loop 336 West, Conroe, Montgomery County, Texas, 77304, United States

    STE 222

    CONROE, TX 773043319

    Phone: (936) 756-6661

    Fax: (936) 756-6681

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $376.

Total Amount is formed as General ($376) + Research ($0) + Ownership ($0) = $376.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($223).

Total Amount

$376

General + Research + Ownership

Payments

5

Total payment records

General Amount

$376

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040802001568IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77584)

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Provider's Procedures

DR. JACK PIENIAZEK (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX81002Urinalysis, manual test2824

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739093527View full group profile
NameSpecialtyState
-TX
Family PracticeTX
-TX
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)TX
Certified Registered Nurse Anesthetist (Crna)TX
Hospitalist, Internal MedicineTX
N E U R O L O G YTX
Internal MedicineTX
D E R M A T O L O G YTX
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineTX

Reviews

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Frequently asked questions

Does DR. JACK PIENIAZEK (DO) have a public NPI I can cite?
Public records show DR. JACK PIENIAZEK (DO) under NPI 1164426870.
Should I treat DR. JACK PIENIAZEK (DO) as an active provider?
Patients and plans typically see DR. JACK PIENIAZEK (DO) as active in the national extract.
What type of care does DR. JACK PIENIAZEK (DO) provide?
DR. JACK PIENIAZEK (DO)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JACK PIENIAZEK (DO)?
DR. JACK PIENIAZEK (DO) is associated with Pearland, Texas in the same public data insurers reference.
Can I export DR. JACK PIENIAZEK (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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