Active NPI
Rostislav Pavlik, M.D.
- Anesthesiology Physician
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 44649
- Practice address
- 1236 E Elizabeth St
Suite 1
Fort Collins, CO 80524-4000 - Phone
- (970) 224-2985
- Fax
- (970) 472-9381
- NPI assigned
- Mar 15, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA08128500 | NJ | |
| Anesthesiology Physician | 207L00000X | 35406 | AZ | |
| Anesthesiology Physician | 207L00000X | A96373 | CA | |
| Anesthesiology Physician | 207L00000X | 238208-1 | NY | |
| Anesthesiology Physician | 207L00000X | 8281A | WY | |
| Anesthesiology Physician | 207L00000X | 44649 | CO | Primary |
Addresses
Primary practice location
1236 E Elizabeth St
Suite 1
Fort Collins, CO 80524-4000
Mailing address
1236 E Elizabeth St
Suite 1
Fort Collins, CO 80524-4000
Phone (970) 224-2985
Other practice location 1
2400 S Avenue A
Yuma, AZ 85364-7170
Phone (928) 344-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08871337 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, WY, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1750 E Ken Pratt Blvd
Uchealth
Longmont, CO 80504-5311
Phone (970) 237-7848
1760 E Ken Pratt Blvd
Longmont, CO 80504-5311
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921
4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260
4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 415-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44649 | CO | MD | Anesthesiology Physician |
| 238208-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain State Anesthesia Providers | Anesthesiology | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Anesthesiology | Current | Accepting new patients |
| Rocky Mountain State Anesthesia Providers | Anesthesiology | Current | Accepting new patients |
| Rocky Mountain State Anesthesia Providers | Anesthesiology | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Boulder Valley Anesthesiology, PLLC | Anesthesiology | Current | Accepting new patients |
| Anesthesiology Consultants of Cheyenne LLC | Anesthesiology | Current | Accepting new patients |
| Sterling Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Longmont Anesthesia Associates, PLLC | Anesthesiology | Past | Accepting new patients |
| Northern Colorado Anesthesia Professionals PLLC | Anesthesiology | Past | Accepting new patients |
| Redwood Anesthesia Services, a Medical Corporation | Anesthesiology | Past | Accepting new patients |
| Outpatient Anesthesia Associates, LLC | Past | Accepting new patients | |
| Clinical Colleagues LLC | Anesthesiology | Past | Accepting new patients |
Locations
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000
1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
2030 Mountain View Ave
Longmont, CO 80501
Phone (303) 682-0375
1610 Dry Creek Dr
Longmont, CO 80503
Phone (720) 494-4750
2030 Mountain View Ave
Ste 100
Longmont, CO 80501
Phone (303) 682-0375
2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760
615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322
10170 Church Ranch Way
Westminster, CO 80021
Phone (303) 328-3400
2301 House Ave
Ste 200
Cheyenne, WY 82001
Phone (307) 421-8786
324 E 23Rd St
Cheyenne, WY 82001
Phone (307) 634-2273
214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221
Organizations & group practices 15
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
- Boulder, CO
- NPI 1962431668
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
Anesthesiology
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- Anesthesiology Physician
- Greeley, CO
- NPI 1730692054
-
- Anesthesiology Physician
- Sterling, CO
- NPI 1932978897
-
- Anesthesiology Physician
- Cheyenne, WY
- NPI 1811940828
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Anesthesiology Physician
- Fort Collins, CO
- NPI 1659904357
-
- Anesthesiology Physician
- Loveland, CO
- NPI 1710510417
-
- Anesthesiology Physician
- Longmont, CO
- NPI 1790737914
-
- Anesthesiology Physician
- Fort Collins, CO
- NPI 1851389613
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longmont, CO
- NPI 1154876985
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1184263527
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1376183145
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1417596834
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1427689652
-
dba Parkview Medical Center
- General Acute Care Hospital
- Pueblo, CO
- NPI 1104881507
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1134751712
-
dba Parkview Pueblo West
- General Acute Care Hospital
- Pueblo West, CO
- NPI 1821720681
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1558495986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 E ELIZABETH ST",
"address_2": "SUITE 1",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244000",
"telephone_number": "970-224-2985",
"fax_number": "970-472-9381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 E ELIZABETH ST",
"address_2": "SUITE 1",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244000",
"telephone_number": "970-224-2985",
"fax_number": "970-472-9381"
}
],
"practiceLocations": [
{
"address_1": "2400 S Avenue A",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853647170",
"country_code": "US",
"telephone_number": "928-344-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAVLIK",
"first_name": "ROSTISLAV",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA08128500",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "35406",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A96373",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "238208-1",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WY",
"license": "8281A",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "44649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08871337",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.