NPIMap

Individual provider Active NPI

Gerald E Gavlak, PA

  • Physician Assistant
  • Sheffield Village, OH
National Provider Identifier
1003929381
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102311 Issued in FL
Practice address
5001 Transportation Dr Ste 101
Sheffield Village, OH 44054-2850
Phone
(440) 329-2800
Fax
(440) 329-2810
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102311 FL Primary

Addresses

Primary practice location

5001 Transportation Dr Ste 101
Sheffield Village, OH 44054-2850

Mailing address

5001 Transportation Dr Ste 101
Sheffield Village, OH 44054-2850
Phone (440) 329-2800

Other practice location 1

21000 NE 28th Ave
Ste 104
Aventura, FL 33180-1421
Phone (305) 937-1999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address geraldgavlak@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100506000335 OH Practitioner - Physician Assistant 1759419013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

32800 Lorain Rd
North Ridgeville, OH 44039-3430

630 E River St
Elyria, OH 44035-5902
Phone (440) 329-7500

Hospital & facility affiliations

  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Regional Medical Center Physician Assistant CurrentSince Jul 21, 2020 Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 1, 2020 Accepting new patients
Emh Regional Medical Center CurrentSince Jul 21, 2020 Accepting new patients
Southwest General Medical Group Inc Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

224 W Lorain St
Oberlin, OH 44074
Phone (440) 222-4970

319 W Lorain St
Oberlin, OH 44074
Phone (440) 774-5518

5001 Transportation Dr
Ste 100
Sheffield Village, OH 44054

5001 Transportation Dr
Ste 101
Sheffield Village, OH 44054

Interoperability endpoints

  • Direct secure messaging: gerald.gavlak.p1@direct.flaspinespecialists.nextgenshare.com
  • Direct secure messaging: ggavlak28439@ehrdirect.uhhospitals.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1003929381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 TRANSPORTATION DR STE 101",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440542850",
            "telephone_number": "440-329-2800",
            "fax_number": "440-329-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 TRANSPORTATION DR STE 101",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440542850",
            "telephone_number": "440-329-2800",
            "fax_number": "440-329-2810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21000 NE 28th Ave",
            "address_2": "STE 104",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801421",
            "country_code": "US",
            "telephone_number": "305-937-1999",
            "fax_number": "305-931-9741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVLAK",
        "first_name": "GERALD",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "geraldgavlak@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5001 Transportation Dr Ste 101",
            "city": "Sheffield Village",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440542850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheffield Village, OH

Sources for this page

Verify at the official NPI Registry.