Active NPI
Pauravi S Vasavada, MD
- Pediatric Radiology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 35-079371
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364094 | Other | OH | WELLCARE |
| 3810011781 | Other | WV | WV MEDICAID |
| 2278799 | Medicaid | OH | |
| P00675402 | Other | OH | RAILROAD MEDICARE |
| Q79371 | Medicaid | SC | |
| 728336 | Other | OH | BUCKEYE |
| 1124046230 | Other | MI | MI MEDICAID |
| 000000503629 | Other | OH | ANTHEM |
| 204723 | Other | OH | UNISON |
| 7799220 | Other | OH | AETNA |
| 000000204723 | Other | OH | UNISON |
| 0017569110005 | Medicaid | PA | |
| 0304914 | Other | OH | BCMH |
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
Enrollment records 1
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
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35-079371 | OH | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Diagnostic Radiology | Current | 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
- pvasavada160911@direct.metrohealth.org
- 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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Diagnostic Radiology
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
Diagnostic Radiology
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
-
- Nurse Practitioner
- Cleveland, OH
- NPI 1295788149
Neuroradiology
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
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",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35-079371",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "OH",
"license": "35-079371",
"primary": false
},
{
"code": "2085H0002X",
"taxonomy_group": "",
"desc": "Radiology, Hospice and Palliative Medicine",
"state": "OH",
"license": "35-079371",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "OH",
"license": "35-079371",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "OH",
"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"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV MEDICAID",
"identifier": "3810011781",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2278799",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00675402",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q79371",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE",
"identifier": "728336",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI MEDICAID",
"identifier": "1124046230",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000503629",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "204723",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7799220",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000204723",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017569110005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMH",
"identifier": "0304914",
"state": "OH"
}
],
"endpoints": [],
"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 Nov 16, 2010; 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.