Active NPI
Paul R Colavincenzo, M.D.
- Anesthesiology Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35056613
- Practice address
- 1625 Delco Park Dr
Dayton, OH 45420-1391 - Phone
- (937) 293-8228
- Fax
- (937) 293-8228
- NPI assigned
- Nov 4, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35056613 | OH | Primary |
Addresses
Primary practice location
1625 Delco Park Dr
Dayton, OH 45420-1391
Mailing address
PO Box 932759
Cleveland, OH 44193-1500
Phone (937) 293-8228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0703304 | Medicaid | OH |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100416000266 | OH | Practitioner - Anesthesiology | 4880721216 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Ohio State University College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 Delco Park Dr
Dayton, OH 45420-1391
Phone (937) 535-2200
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2000
Hospital & facility affiliations
- Christ Hospital
- Wayne Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35056613 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Cincinnati, Inc | Anesthesiology | Current | Accepting new patients |
| Sandusky Anesthesia LLC | Current | Accepting new patients | |
| Dayton Anesthesia & Pain Services, LLC | Anesthesiology | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| West Chester Surgical Suites, LLC | Past | Accepting new patients |
Locations
3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000
2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
1997 W Centerville Rd
Washington Township, OH 45459
Phone (937) 401-6000
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.
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1316945173
Anesthesiology, OH
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1629401898
Anesthesiology, OH
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Ambulatory Surgical Clinic/Center
- West Chester, OH
- NPI 1295344026
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1154312445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932759",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441931500",
"telephone_number": "937-293-8228",
"fax_number": "937-293-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 DELCO PARK DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454201391",
"telephone_number": "937-293-8228",
"fax_number": "937-293-8228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLAVINCENZO",
"first_name": "PAUL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35056613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0703304",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.