Individual provider Active NPI

Katsiaryna Paulovich

  • Surgery Physician
  • Harrisburg, PA
National Provider Identifier
1609228733
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MT211733 Issued in PA
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

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20230807003245 PA Practitioner - General Surgery 1951697325 Reassigns benefits to 4 organizations
I20250412000301 WV Practitioner - Vascular Surgery 1951697325 Reassigns benefits to 8 organizations
I20251120001373 MD Practitioner - Vascular Surgery 1951697325 Reassigns benefits to 2 organizations
I20260112002328 OH Practitioner - Vascular Surgery 1951697325 Reassigns benefits to 1 organization

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
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians
United Hospital Center IncGroup PAC ID 8123936010, 290 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
82.6 of 100Reported as group
Quality
70.07
Promoting interoperability
100
Improvement activities
40
Cost
71.93

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)16
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD473864PAMDSurgery Physician
MT211733PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Garrett County, LLC CurrentSince Nov 7, 2025 Accepting new patients
Specialty Physicians of Garrett County, LLC Current Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Nov 7, 2025 Accepting new patients
Wheeling Hospital Inc CurrentSince Jun 4, 2025 Accepting new patients
Camden-Clark Physician Corporation Surgery CurrentSince Sep 1, 2025 Accepting new patients
West Virginia University Medical Corporation Surgery CurrentSince Dec 30, 2024 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince May 27, 2023 Accepting new patients
St Josephs Hospital of Buckhannon Inc CurrentSince Jul 22, 2025 Accepting new patients
Braxton County Memorial Hospital CurrentSince Jun 4, 2025 Accepting new patients
Fayette Physician Network Inc Surgery CurrentSince Mar 28, 2025 Accepting new patients
United Hospital Center, Inc. Surgery CurrentSince Sep 29, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Dec 30, 2024 Accepting new patients
Pinnacle Health Regional Physicians Surgery CurrentSince May 27, 2023 Accepting new patients
Braxton County Memorial Hospital CurrentSince Jun 4, 2025 Accepting new patients
Pinnacle Health Cardiovascular Institute Inc Surgery CurrentSince Aug 1, 2023 Accepting new patients
Fayette Physician Network Inc CurrentSince Mar 28, 2025 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.

View all 19

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.