Individual provider Active NPI

Anita Valeria Pavels, MD

  • Internal Medicine Physician
  • Poughkeepsie, NY
National Provider Identifier
1093873291
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1541401 Issued in NY
Practice address
243 North Rd
Suite 103
Poughkeepsie, NY 12601-1172
Phone
(845) 454-4600
Fax
(845) 454-4609
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1541401 NY Primary

Addresses

Primary practice location

243 North Rd
Suite 103
Poughkeepsie, NY 12601-1172

Mailing address

243 North Rd
Suite 304
Poughkeepsie, NY 12601-1172
Phone (845) 454-4600

Other identifiers 2

IdentifierTypeStateIssuer
00784932MedicaidNY
117157OtherMVP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20110330000474 NY Practitioner - Internal Medicine 1850574799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Medical Group of the Hudson Valley PCGroup PAC ID 3072575109, 134 clinicians

Practice addresses (Care Compare)

243 N Rd
Suite 101
Poughkeepsie, NY 12601-1173
Phone (845) 471-9410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1541401NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley P.C. Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Nov 1, 2015 Accepting new patients

Locations

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

243 North Rd
Ste 103
Poughkeepsie, NY 12601
Phone (845) 454-0728

243 North Rd
Ste 101
Poughkeepsie, NY 12601
Phone (845) 471-9410

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: apavels@premiermedicalhv.medentdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FJFJBA
  • Direct secure messaging: apavels@hiemail.healtheconnections.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1093873291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH RD",
            "address_2": "SUITE 304",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011172",
            "telephone_number": "845-454-4600",
            "fax_number": "845-454-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 NORTH RD",
            "address_2": "SUITE 103",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011172",
            "telephone_number": "845-454-4600",
            "fax_number": "845-454-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVELS",
        "first_name": "ANITA",
        "middle_name": "VALERIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1541401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00784932",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "117157",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.