Active NPI
Anita Valeria Pavels, MD
- Internal Medicine Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1541401
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00784932 | Medicaid | NY | |
| 117157 | Other | MVP |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1541401 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group of the Hudson Valley P.C. | Internal Medicine | Current | Accepting new patients |
| Premier Medical Group of the Hudson Valley, P.C. | Current | 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
- apavels@premiermedicalhv.medentdirect.com
- https://fhir4.healow.com/fhir/r4/FJFJBA
- 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.
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1255437166
Internal Medicine
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.