Active NPI
Pavlo Shkraba
- Anesthesiologist Assistant
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 67.000266
- Practice address
- 2500 Metrohealth Dr
Cleveland, OH 44109-1900 - Phone
- (216) 778-7800
- NPI assigned
- Aug 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 67.000266 | OH | Primary |
Addresses
Primary practice location
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Mailing address
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0175218 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pshkraba112665@direct.metrohealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67.000266 | OH | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Ohio Anesthesia Group, Inc | Current | Accepting new patients | |
| The Metrohealth System | Past | Accepting new patients |
Locations
25501 Chagrin Blvd
Beachwood, OH 44122
Phone (216) 545-4800
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
3755 Orange Pl
Ste 101
Cleveland, OH 44122
Phone (216) 593-0030
22715 Fairview Center Dr
Fairview Park, OH 44126
Phone (330) 810-5797
6701 Rockside Rd
Ste 200
Independence, OH 44131
Phone (216) 674-5230
7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
-
dba Metrohealth Professional Group
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
-
dba MetroHealth Brooklyn Memphis Pharmacy
- Pharmacy
- Cleveland, OH
- NPI 1992529911
-
- Health Educator
- Cleveland, OH
- NPI 1609434323
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1194763045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1063811800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 METROHEALTH DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441091900",
"telephone_number": "216-778-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 METROHEALTH DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441091900",
"telephone_number": "216-778-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHKRABA",
"first_name": "PAVLO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-18",
"last_updated": "2021-12-27",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "OH",
"license": "67.000266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0175218",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pshkraba112665@direct.metrohealth.org",
"affiliation": "N",
"address_1": "2500 Metrohealth Dr",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441091900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.