Stephen Pavelko, MD
Individual provider Active NPI Anesthesiology Physician · Cleveland, OH
NPI 1154882595 · NPPES record last updated Nov 19, 2024
Key facts
- NPI
- 1154882595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 35.146350 (OH)
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-0001 - Phone
- (216) 444-5690
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osu Observation Medicine, LLC
Consultant Anesthesiologists Inc.
Practice addresses (Care Compare)
410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8487
500 S Cleveland Ave
Westerville, OH 43081-8971
Phone (380) 898-4000
7333 Smiths Mill Rd
New Albany, OH 43054-9291
Phone (614) 775-6600
Hospital & facility affiliations
- Mount Carmel St Ann'S
- Mount Carmel New Albany Surgical Hospital
- Ohio State University State Health System
- James Cancer Hospital & Solove Research Institute
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230726001876 | OH | Practitioner - Anesthesiology | 7810239076 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.146350 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osu Observation Medicine, LLC | Anesthesiology | Current |
Accepting new patients |
Locations
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
Interoperability endpoints
- spavelko2798890@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35.146350 | OH | Yes |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
9500 Euclid Ave
Cleveland, OH 44195-0001
Other practice location 1
410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-8487
Other providers in Cleveland, OH
- Ashley Lynn Paulus
- Christopher Aaron Paulus
- Victoria Danis Paulus
- Olivia Pauly
- Hannah Sue Pausch-Taylor
- Stephanie Marie Pavlasky
- Curtis J Pavlick
- Kellie Pavlish
- Valerie Pavlovich-Ruff
- Thanay Paw
All providers in Cleveland, OH · Anesthesiology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.