Individual provider Active NPI

Pauravi S Vasavada, MD

  • Pediatric Radiology Physician
  • Cleveland, OH
National Provider Identifier
1124046230
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
35-079371 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-1700
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 35-079371 OH Primary
Body Imaging Physician 2085B0100X 35-079371 OH
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 35-079371 OH
Diagnostic Radiology Physician 2085R0202X 35-079371 OH
Diagnostic Ultrasound Physician 2085U0001X 35-079371 OH
Hospice and Palliative Medicine (Radiology) Physician 2085H0002X 35-079371 OH
Neuroradiology Physician 2085N0700X 35-079371 OH
Nuclear Radiology Physician 2085N0904X 35-079371 OH
Radiation Oncology Physician 2085R0001X 35-079371 OH
Therapeutic Radiology Physician 2085R0203X 35-079371 OH
Vascular & Interventional Radiology Physician 2085R0204X 35-079371 OH
Nuclear Medicine Physician 207U00000X 35-079371 OH
In Vivo & In Vitro Nuclear Medicine Physician 207UN0903X 35-079371 OH
Nuclear Cardiology Physician 207UN0901X 35-079371 OH
Nuclear Imaging & Therapy Physician 207UN0902X 35-079371 OH

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

24701 Euclid Ave
3Rd Floor
Euclid, OH 44117-1714

Other identifiers 13

IdentifierTypeStateIssuer
364094OtherOHWELLCARE
3810011781OtherWVWV MEDICAID
2278799MedicaidOH
P00675402OtherOHRAILROAD MEDICARE
Q79371MedicaidSC
728336OtherOHBUCKEYE
1124046230OtherMIMI MEDICAID
000000503629OtherOHANTHEM
204723OtherOHUNISON
7799220OtherOHAETNA
000000204723OtherOHUNISON
0017569110005MedicaidPA
0304914OtherOHBCMH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050201000409 OH Practitioner - Diagnostic Radiology 9931150539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Kansas City, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-079371OHMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2007 Accepting new patients
The Metrohealth System CurrentSince Jul 1, 2019 Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
University Radiologists of Cleveland Inc Neuroradiology Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593

11100 Euclid Ave
Cleveland Heights, OH 44106

24701 Euclid Ave
Fl 3
Euclid, OH 44117
Phone (216) 383-6950

20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156

1611 S Green Rd
Ste 9
South Euclid, OH 44121
Phone (216) 382-7745

Interoperability endpoints

  • Direct secure messaging: pvasavada160911@direct.metrohealth.org
  • Direct secure messaging: pvasavada30308@ehrdirect.uhhospitals.org

Organizations & group practices 6

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1124046230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "3RD FLOOR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASAVADA",
        "first_name": "PAURAVI",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "OH",
            "license": "35-079371",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "OH",
            "license": "35-079371",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "OH",
            "license": "35-079371",
            "primary": false
        },
        {
            "code": "2085R0202X",
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            "license": "35-079371",
            "primary": false
        },
        {
            "code": "2085U0001X",
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            "license": "35-079371",
            "primary": false
        },
        {
            "code": "2085H0002X",
            "taxonomy_group": "",
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            "license": "35-079371",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
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            "license": "35-079371",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
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            "license": "35-079371",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35-079371",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "OH",
            "license": "35-079371",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35-079371",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "OH",
            "license": "35-079371",
            "primary": false
        },
        {
            "code": "207UN0903X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
            "state": "OH",
            "license": "35-079371",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "OH",
            "license": "35-079371",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "OH",
            "license": "35-079371",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "364094",
            "state": "OH"
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        {
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            "issuer": "WV MEDICAID",
            "identifier": "3810011781",
            "state": "WV"
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            "identifier": "2278799",
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            "issuer": "RAILROAD MEDICARE",
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            "issuer": null,
            "identifier": "Q79371",
            "state": "SC"
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            "issuer": "BUCKEYE",
            "identifier": "728336",
            "state": "OH"
        },
        {
            "code": "01",
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            "issuer": "MI MEDICAID",
            "identifier": "1124046230",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000503629",
            "state": "OH"
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        {
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            "issuer": "UNISON",
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            "state": "OH"
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            "identifier": "7799220",
            "state": "OH"
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        {
            "code": "01",
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            "issuer": "UNISON",
            "identifier": "000000204723",
            "state": "OH"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017569110005",
            "state": "PA"
        },
        {
            "code": "01",
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            "issuer": "BCMH",
            "identifier": "0304914",
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    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.