Pavel Vladimirovich Lobanov, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MT 183296 Issued in PA

Practice address

12 Newburyport Rd
Upper Holland, PA 19053-1556

Phone

(215) 860-4110

Fax

(267) 295-8208

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, FL2 enrollments

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 2

Specialty

Anesthesiology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Miami Anesthesia Services LLC 168 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Miami Anesthesia Services LLC

  • Anesthesiology Physician
  • Aventura, FL
  • NPI 1821475179

  Anesthesiology, FL

  Medicare reassignment Care Compare group NPD
• Anesthesia Advantage PC

  • Anesthesiology Physician
  • Southampton, PA
  • NPI 1649360041

  Anesthesiology, PA

  Medicare reassignment NPD
• Anestiplus, Inc.

  • Anesthesiology Physician
  • East Norriton, PA
  • NPI 1194770487

  Anesthesiology, PA

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Anesthesiology, FL

  Medicare reassignment NPD
• Sunshine State Anesthesia Partners LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1437757127

  Anesthesiology, FL

  Medicare reassignment NPD
• Anesthesia Advantage of Delaware, P.a.

  • Anesthesiology Physician
  • Lewes, DE
  • NPI 1740370147

  Anesthesiology

  NPD (past)
• Capital Health Advanced Imaging, PC

  • Diagnostic Radiology Physician
  • Trenton, NJ
  • NPI 1144257650
  NPD (past)
• Endocentre at Quarterfield Station

  • Endoscopy Clinic/Center
  • Glen Burnie, MD
  • NPI 1396798930
  NPD (past)
• Medstar Health Anesthesia Services C, LLC

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1124167499

  Anesthesiology

  NPD (past)
• Radiology Affiliates of Central New Jersey PC

  • Diagnostic Radiology Physician
  • Hamilton, NJ
  • NPI 1811994791
  NPD (past)
• Woodholme Gastroenterology Assoc PA

  • Gastroenterology Physician
  • Baltimore, MD
  • NPI 1700839347
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1124149547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAYO PL",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251228",
            "telephone_number": "267-237-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NEWBURYPORT RD",
            "city": "UPPER HOLLAND",
            "state": "PA",
            "postal_code": "190531556",
            "telephone_number": "215-860-4110",
            "fax_number": "267-295-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBANOV",
        "first_name": "PAVEL",
        "middle_name": "VLADIMIROVICH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MT 183296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Buonora, MS, CCC/SLP
• Deborah Gates-Maten, PT
• Dharmesh J. Gohel
• Michele Gunnells, DO
• Stacey Ann Minio, P.T.
• Platinum Family Home Care LLC
• Joshua Schultz, PSYD

• All providers in Upper Holland, PA
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.

Verify at the official NPI Registry.