Jean Alexandra Pavlakis, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709

Phone

(845) 790-2085

NPI assigned

Apr 1, 2020

Sex

Female

Sole proprietor

Yes

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 CT

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

Specialty

Family Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yale New Haven Health - Health at Home Home health agency, Milford, CT, CCN 077143
• Masters in Home Care, LLC Home health agency, Rocky Hill, CT, CCN 077264
• Home Care Plus, Inc Hospice, Guilford, CT, CCN 071544
• Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as apm

Quality

86.54

Promoting interoperability

99.98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpavlakis629416@direct.ynhh.org

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.

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  Medicare reassignment Care Compare group NPD
• Northeast Medical Group, Inc

  dba Cardiac Specialists

  • Cardiovascular Disease Physician
  • Fairfield, CT
  • NPI 1366745267
  NPD
• Guilford Internal Medicine Group P.C.

  • Rheumatology Physician
  • Guilford, CT
  • NPI 1730261389
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Masters in Home Care, LLC

  • Home Health Agency
  • Rocky Hill, CT
  • NPI 1679901953
  Care Compare affiliation
• Yale New Haven Health at Home, Inc.

  dba Home Care Plus South Central Connecticut

  • Home Health Agency
  • New Haven, CT
  • NPI 1043217482
  Care Compare affiliation
• Yale New Haven Health at Home, Inc.

  dba Home Care Plus Inc

  • Home Health Agency
  • Milford, CT
  • NPI 1407932056
  Care Compare affiliation
• Yale New Haven Health at Home, Inc.

  dba Home Care Plus, Community Home Health and Hospice

  • Community Based Hospice Care Agency
  • Guilford, CT
  • NPI 1447606116
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1578778726
  Care Compare affiliation

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1306474515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 SPRING BROOK AVE",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723709",
            "telephone_number": "845-790-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 SPRING BROOK AVE",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723709",
            "telephone_number": "845-790-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLAKIS",
        "first_name": "JEAN",
        "middle_name": "ALEXANDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Parsa, M.D.
• Bijan Parsi, RPH
• Agamsharan Premprakash Patel, M.D.
• Harish B Patel, BPHARM
• Christopher Cameron Paul, RN
• Barbara J Payne, M.D.
• Kelly Ann Pedersen, LPN
• Myrna Perez-Lugo
• Adam Petchers
• Leeann Peters, LCSW, LCAS

• Student in an Organized Health Care Education/Training Program in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.