THIAGO ANTONIO JABUONSKI (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1053685107

THIAGO ANTONIO JABUONSKI (MD) is a healthcare provider. based in Mount vernon, Washington. specializing in CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. MD61169747 (WA). The NPI Number for THIAGO ANTONIO JABUONSKI (MD) is 1053685107

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
THIAGO ANTONIO JABUONSKI (MD)
NPI
1053685107
Phone
(360) 424-4111
Address
1415 E Kincaid St
Enumeration Date
6 March 2012
Last Update Date
1 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4252521116
Graduation Year
2009 (17 years ago)
PAC ID
0941596423
Group Practice PAC ID
7517870314
Professional Enrollment ID
I20210924001940
Address ID
WA982086526EV12728SEXX404

Contacts

Secure Messaging
tjabuonski45652@skagit.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

419 CRITICAL CARE (INTENSIVISTS) in WA

Provider Addresses for THIAGO ANTONIO JABUONSKI (MD)

  • 1415 E Kincaid St

    Mount Vernon, WA 982744126

    Phone: (360) 424-4111

    Type: Location

  • 1400 PELHAM PARKWAY SOUTH

    JACOBI MEDICAL CENTER

    BRONX, NY 10461

    Phone:

    Type: Mailing

  • 1400 PELHAM PKWY S

    BRONX, NY 104611138

    Phone: (718) 918-5000

    Type: Location

  • 12728 19TH AVE SE STE 200

    EVERETT, WA 982086526

    Phone: (425) 252-1116

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-09-24

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
I20210924001940ICritical Care (Intensivists)WATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes174116$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes13474$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2928$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2719$0
99292Critical care, each additional 30 minutes2614$0
View full utilization report →

Insurance plans in this area (ZIP 98274)

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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: 7517870314View full group profile
NameSpecialtyState
-WA
Nurse PractitionerWA
-WA
-WA
-WA
-UT
Pulmonary Disease, Critical Care (Intensivists)FL
R H E U M A T O L O G YWA
Physician AssistantWA
Critical Care (Intensivists), Internal Medicine, Pediatric MedicineWA

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Frequently asked questions

What unique ID ties claims to THIAGO ANTONIO JABUONSKI (MD)?
NPI 1053685107 is assigned to THIAGO ANTONIO JABUONSKI (MD) under the national enumeration system.
Is THIAGO ANTONIO JABUONSKI (MD) currently active in the NPI registry?
CMS-published data lists THIAGO ANTONIO JABUONSKI (MD) as an active registrant.
What does THIAGO ANTONIO JABUONSKI (MD) treat or focus on?
Patients typically see THIAGO ANTONIO JABUONSKI (MD) under the specialty Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for THIAGO ANTONIO JABUONSKI (MD)?
The page summarizes Mount Vernon, Washington for THIAGO ANTONIO JABUONSKI (MD); expand the address list for detail.
What if Mount Vernon, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.