Mordechai Pavlovsky, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A128814 Issued in CA

Practice address

2450 Ashby Ave
Department of Emergency Medicine
Berkeley, CA 94705-2067

Phone

(925) 962-1067

NPI assigned

Jun 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Emergency Medicine

Education

State University of New York Downstate Medical Center, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berkeley Emergency Medical Group IncGroup PAC ID 5890697536, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
• Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
• Kaiser Foundation Hospital - Redwood City Hospital, Redwood City, CA, CCN 050541

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

96.63

Improvement activities

40

Cost

81.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpavlovsky203946@hisp.ehr.sutterhealth.org

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.

• Berkeley Emergency Medical Group, Inc.

  • Emergency Medicine Physician
  • Oakland, CA
  • NPI 1508874454
  Medicare reassignment Care Compare group NPD
• Berkeley Emergency Medical Group, Inc.

  • Emergency Medicine Physician
  • Berkeley, CA
  • NPI 1780692632
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kaiser Foundation Hospitals

  • General Acute Care Hospital
  • Redwood City, CA
  • NPI 1386714814
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1295181477
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Berkeley, CA
  • NPI 1639523004
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1053548776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ASHBY AVE",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052067",
            "telephone_number": "925-962-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ASHBY AVE",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052067",
            "telephone_number": "925-962-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOVSKY",
        "first_name": "MORDECHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-20",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A128814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meg Patterson, M.F.T.
• Paul Kasrovi DDS Ms a Professional Corporation
• Patrice Paul, RN, PHN
• Casey Paule
• Benjamin Adams Pauw, LMFT
• Iris Paw
• George Payapilly
• Kimberlee Payba
• Genevieve Rose Payne, MFT
• Jennifer Polse Payne, MA

• Emergency Medicine Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.