Active NPI
Katsiaryna Paulovich
- Surgery Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MT211733
- Practice address
- 205 S Front St
Brady 9TH Floor Attn: Vanessa Jordan
Harrisburg, PA 17104-1619 - Phone
- (717) 231-8755
- NPI assigned
- Jul 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD473864 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | PA | ||
| Surgery Physician | 208600000X | MT211733 | PA | Primary |
Addresses
Primary practice location
205 S Front St
Brady 9TH Floor Attn: Vanessa Jordan
Harrisburg, PA 17104-1619
Mailing address
PO Box 8700
Harrisburg, PA 17105-8700
Phone (717) 231-8755
Other practice location 1
2020 Technology Parkway Suite 201
Mechanicsburg, PA 17050-1619
Phone (717) 731-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, WV, MD, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Medical Park
Suite 104
Wheeling, WV 26003-6389
Phone (304) 242-4800
100 Pin Oak LN
Keyser, WV 26726-5908
Phone (304) 598-4825
100 Woodlawn Ave
Uniontown, PA 15401-3105
Phone (724) 430-5600
251 N 4TH St
Oakland, MD 21550-1375
Phone (304) 598-4865
327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1842
451 Murtha Dr
Suite 100
Waynesburg, PA 15370-7007
Phone (304) 599-2273
527 Medical Park Dr
Bridgeport, WV 26330-9009
639 W Main St
Barnesville, OH 43713-1039
Phone (740) 425-3941
Hospital & facility affiliations
- West Virginia University Hospitals, Inc
- Uniontown Hospital
- Wheeling Hospital, Inc
- Potomac Valley Hospital
- Garrett Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.6 of 100
- Quality
- 70.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.93
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.61 of 100
- Quality
- 83.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 16 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD473864 | PA | MD | Surgery Physician |
| MT211733 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Wheeling Hospital Inc | Current | Accepting new patients | |
| Camden-Clark Physician Corporation | Surgery | Current | Accepting new patients |
| West Virginia University Medical Corporation | Surgery | Current | Accepting new patients |
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| St Josephs Hospital of Buckhannon Inc | Current | Accepting new patients | |
| Braxton County Memorial Hospital | Current | Accepting new patients | |
| Fayette Physician Network Inc | Surgery | Current | Accepting new patients |
| United Hospital Center, Inc. | Surgery | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Pinnacle Health Regional Physicians | Surgery | Current | Accepting new patients |
| Braxton County Memorial Hospital | Current | Accepting new patients | |
| Pinnacle Health Cardiovascular Institute Inc | Surgery | Current | Accepting new patients |
| Fayette Physician Network Inc | Current | Accepting new patients | |
| Fayette Physician Network Inc | Past | Accepting new patients | |
| Pinnacle Health Medical Services | Past | Accepting new patients | |
| West Virginia University Hospitals, Inc | Past | Accepting new patients |
Locations (25 of 26)
880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177
251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000
639 W Main St
Barnesville, OH 43713
Phone (740) 425-3941
951 E Market St
Cadiz, OH 43907
Phone (740) 942-4631
90 N 4th St
Martins Ferry, OH 43935
Phone (304) 234-8425
210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300
360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557
401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343
205 S Front St
Fl 9
Harrisburg, PA 17104
Phone (717) 231-8494
2020 Technology Pkwy
Ste 201
Mechanicsburg, PA 17050
500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000
100 Woodlawn Ave
Uniontown, PA 15401
Phone (724) 438-8765
201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940
451 Murtha Dr
Ste 100
Waynesburg, PA 15370
Phone (304) 599-2273
1703 Innovation Dr
Ste 4120
York, PA 17408
Phone (717) 632-9263
16 Sterling Dr
Ste 102
Bridgeport, WV 26330
Phone (681) 342-2133
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000
105 Nathan St
Fl 1
Elkins, WV 26241
Phone (304) 637-3897
100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046
800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520
100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405
10 Medical Park
Ste 104
Wheeling, WV 26003
Phone (304) 242-4800
Organizations & group practices 19
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.
-
- Surgery Physician
- Uniontown, PA
- NPI 1992107817
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
MD, OH, PA, Surgery
-
- Family Medicine Physician
- Wheeling, WV
- NPI 1548923923
-
- Cardiovascular Disease Physician
- Wormleysburg, PA
- NPI 1952603342
Surgery
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1013441690
Surgery
-
- Critical Access Hospital
- Gassaway, WV
- NPI 1356304547
-
- Surgery Physician
- Parkersburg, WV
- NPI 1710125430
-
- Obstetrics & Gynecology Physician
- Oakland, MD
- NPI 1265819866
-
- Critical Access Hospital
- Buckhannon, WV
- NPI 1124005061
-
- Internal Medicine Physician
- Columbia, PA
- NPI 1790205938
-
- Medicare Defined Swing Bed Hospital Unit
- Gassaway, WV
- NPI 1861580334
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Uniontown, PA
- NPI 1861409773
-
- General Acute Care Hospital
- Uniontown, PA
- NPI 1871594127
-
- General Acute Care Hospital
- Oakland, MD
- NPI 1598417412
-
- Critical Access Hospital
- Keyser, WV
- NPI 1912979873
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1609228733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8700",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171058700",
"telephone_number": "717-231-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S FRONT ST",
"address_2": "BRADY 9TH FLOOR ATTN: VANESSA JORDAN",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041619",
"telephone_number": "717-231-8755"
}
],
"practiceLocations": [
{
"address_1": "2020 Technology Parkway Suite 201",
"address_purpose": "LOCATION",
"city": "Mechanicsburg",
"state": "PA",
"postal_code": "170501619",
"country_code": "US",
"telephone_number": "717-731-0101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAULOVICH",
"first_name": "KATSIARYNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-13",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD473864",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MT211733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.