Individual provider Active NPI

Thales N Pavlatos, MD

  • Anesthesiology Physician
  • Springfield, OH
National Provider Identifier
1336256486
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35051485P Issued in OH
Practice address
100 W Main St
Springfield, OH 45502-1312
Phone
(937) 521-3900
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35051485P OH Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35051485 OH

Addresses

Primary practice location

100 W Main St
Springfield, OH 45502-1312

Mailing address

PO Box 632621
Cincinnati, OH 45263-2621
Phone (706) 650-0705

Other identifiers 1

IdentifierTypeStateIssuer
0598698MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000018 OH Practitioner - AnesthesiologyPractitioner - Pain Management 1850295015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Ohio State University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Anesthesiologists IncGroup PAC ID 9537063789, 17 clinicians

Practice addresses (Care Compare)

100 W Main St
Springfield, OH 45502-1312
Phone (937) 521-3906

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35051485POHMDAnesthesiology Physician
35051485OHMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Medical Center, LLC Current Accepting new patients
Mercy Anesthesia, Inc Current Accepting new patients
Mercy Anesthesiologists Inc Anesthesiology CurrentSince Jan 29, 2022 Accepting new patients
Springfield Regional Anesthesia, Inc Anesthesiology Past Accepting new patients

Locations

100 W Main St
Springfield, OH 45502
Phone (937) 521-3900

904 Scioto St
Urbana, OH 43078
Phone (937) 293-0136

Interoperability endpoints

  • Direct secure messaging: tpavlatos@direct.ovsurgical.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1336256486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632621",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632621",
            "telephone_number": "706-650-0705",
            "fax_number": "706-650-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455021312",
            "telephone_number": "937-521-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLATOS",
        "first_name": "THALES",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35051485P",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35051485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0598698",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.