Active NPI
Stephan Pavlos, M.D.
- Cardiovascular Disease Physician
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D41721
- Practice address
- 400 Eastern Shore Dr
Salisbury, MD 21804-5565 - Phone
- (410) 749-8906
- Fax
- (410) 219-5662
- NPI assigned
- Dec 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D41721 | MD | Primary |
Addresses
Primary practice location
400 Eastern Shore Dr
Salisbury, MD 21804-5565
Mailing address
400 Eastern Shore Dr
P.O. Box 49
Salisbury, MD 21804-5565
Phone (410) 749-8906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158441300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Maryland School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5701 Overseas Hwy
Suite 14
Marathon, FL 33050-2784
Phone (305) 289-2910
Hospital & facility affiliations
- Lower Keys Medical Center
- Fishermen'S Community Hospital
- Tidalhealth Peninsula Regional, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D41721 | MD | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidalhealth Atlantic, Inc. | Current | Accepting new patients | |
| Tidalhealth Specialty Care, LLC | Current | Accepting new patients | |
| Atlantic General Hospital Corporation | Current | Accepting new patients | |
| Cardiology of the Florida Keys, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Tidalhealth Peninsula Regional, Inc. | Current | Accepting new patients | |
| Tidalhealth Peninsula Regional, Inc. | Current | Accepting new patients | |
| Atlantic Immedicare LLC | Past | Accepting new patients |
Locations
96 Atlantic Ave
Ste 103
Ocean View, DE 19970
Phone (302) 402-3015
3401 Northside Dr
Key West, FL 33040
Phone (305) 292-9688
5701 Overseas Hwy
Ste 14
Marathon, FL 33050
Phone (305) 289-2910
4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349
314 Franklin Ave
Berlin, MD 21811
Phone (410) 641-0277
10026 Old Ocean City Blvd
Ste 1
Berlin, MD 21811
314 Franklin Ave
Ste 402
Berlin, MD 21811
Phone (410) 641-2236
9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600
400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255
106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400
6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041
Interoperability endpoints
- https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Key West, FL
- NPI 1710357397
-
- Family Medicine Physician
- Berlin, MD
- NPI 1871582171
-
- Family Medicine Physician
- Salisbury, MD
- NPI 1184832040
-
- Medical Specialty Clinic/Center
- Salisbury, MD
- NPI 1619504735
-
- Community/Retail Pharmacy
- Berlin, MD
- NPI 1740963859
-
- Community/Retail Pharmacy
- Salisbury, MD
- NPI 1871031559
-
- General Practice Physician
- Ocean City, MD
- NPI 1518199223
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
-
- Critical Access Hospital
- Marathon, FL
- NPI 1235669110
-
- General Acute Care Hospital
- Key West, FL
- NPI 1619922077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619952439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 EASTERN SHORE DR",
"address_2": "P.O. BOX 49",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218045565",
"telephone_number": "410-749-8906",
"fax_number": "410-219-5662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EASTERN SHORE DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218045565",
"telephone_number": "410-749-8906",
"fax_number": "410-219-5662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLOS",
"first_name": "STEPHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D41721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158441300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.