Individual provider Active NPI

Stephan Pavlos, M.D.

  • Cardiovascular Disease Physician
  • Salisbury, MD
National Provider Identifier
1619952439
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D41721 Issued in MD
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
158441300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 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
I20070214000031 MD Practitioner - Cardiovascular Disease (Cardiology) 2668497009 Reassigns benefits to 3 organizations
I20240925003182 FL Practitioner - Cardiovascular Disease (Cardiology) 2668497009 Reassigns benefits to 1 organization

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
Cardiology of the Florida Keys LLCGroup PAC ID 5294038063, 4 clinicians

Practice addresses (Care Compare)

5701 Overseas Hwy
Suite 14
Marathon, FL 33050-2784
Phone (305) 289-2910

Hospital & facility affiliations

  • Lower Keys Medical Center Hospital, Key West, FL, CCN 100150
  • Fishermen'S Community Hospital Hospital, Marathon, FL, CCN 101312
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D41721MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Atlantic, Inc. CurrentSince Jul 1, 2005 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Atlantic General Hospital Corporation CurrentSince Jul 1, 2005 Accepting new patients
Cardiology of the Florida Keys, LLC Cardiovascular Disease CurrentSince Oct 1, 2024 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Jan 1, 2020 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.