Individual provider Active NPI

Sasha Pavlovich, M.D.,PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Wailuku, HI
National Provider Identifier
1437236155
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD-24824 Issued in HI
Practice address
221 Mahalani St
Wailuku, HI 96793-2526
Phone
(808) 242-2065
Fax
(808) 244-7246
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A113212 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD-24824 HI Primary

Addresses

Primary practice location

221 Mahalani St
Wailuku, HI 96793-2526

Mailing address

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 242-2065

Other names 1

  • Sasa Pavlovic Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 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

Enrollment IDStateProvider typePAC IDDetails
I20140416000415 CA Practitioner - Pathology 1951533447 Reassigns benefits to 1 organization
I20250422002868 HI Practitioner - Pathology 1951533447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pan Pacific Pathologists LLCGroup PAC ID 0941190474, 19 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 974-6898

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 242-2064

Hospital & facility affiliations

  • Maui Memorial Medical Center Hospital, Wailuku, HI, CCN 120002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113212CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Pathology Medical Group, Inc. Current Accepting new patients
Pan Pacific Pathologists, LLC Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2025 Accepting new patients
Palm Pathology Medical Group, a Professional Corporation Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2021 Accepting new patients
Clinical Laboratories of Hawaii LLP Past Accepting new patients

Locations

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

81715 Doctor Carreon Blvd
Ste A2
Indio, CA 92201
Phone (760) 342-1187

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

99-193 Aiea Heights Dr
Aiea, HI 96701
Phone (808) 679-4243

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

33 Lanihuli St
Hilo, HI 96720
Phone (808) 935-4814

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1437236155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932526",
            "telephone_number": "808-242-2065",
            "fax_number": "808-244-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932526",
            "telephone_number": "808-242-2065",
            "fax_number": "808-244-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOVICH",
        "first_name": "SASHA",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A113212",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "HI",
            "license": "MD-24824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASA",
            "last_name": "PAVLOVIC",
            "credential": "MD, PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.