Individual provider Active NPI

Pavle Repovic, MD, PHD

  • Neurology Physician
  • Seattle, WA
National Provider Identifier
1649437211
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD 60166620 Issued in WA
Practice address
550 17TH Ave
Ste 540 Ms Center Swedish Neuroscience Institute
Seattle, WA 98122-5788
Phone
(206) 320-2200
Fax
(206) 386-2845
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 240196 NY
Neurology Physician 2084N0400X MD 60166620 WA Primary

Addresses

Primary practice location

550 17TH Ave
Ste 540 Ms Center Swedish Neuroscience Institute
Seattle, WA 98122-5788

Mailing address

1600 E Jefferson St Ste a
Seattle, WA 98122-5698
Phone (206) 320-2200

Other practice location 1

1600 E Jefferson St Ste A
Seattle, WA 98122-5698
Phone (206) 320-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prepovic757988@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000387 WA Practitioner - Neurology 9032233754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Alabama School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025
  • Swedish Issaquah Hospital, Issaquah, WA, CCN 500152
  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072
  • Jefferson Healthcare Hospital, Port Townsend, WA, CCN 501323

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
72.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240196NYMDNeurology Physician
MD 60166620WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Aug 1, 2010 Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1600 E Jefferson St
Ste A1
Seattle, WA 98122
Phone (206) 320-2200

550 17th Ave
Ste 540
Seattle, WA 98122
Phone (206) 386-3880

800 5th Ave
Ste 600
Seattle, WA 98104

1600 E Jefferson St
Ste A
Seattle, WA 98122
Phone (206) 320-2200

Interoperability endpoints

  • Direct secure messaging: prepovic757988@wm.providencedirect.org

Organizations & group practices 2

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 7

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1649437211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E JEFFERSON ST STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225698",
            "telephone_number": "206-320-2200",
            "fax_number": "206-320-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 17TH AVE",
            "address_2": "STE 540 MS CENTER SWEDISH NEUROSCIENCE INSTITUTE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225788",
            "telephone_number": "206-320-2200",
            "fax_number": "206-386-2845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E Jefferson St Ste A",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981225698",
            "country_code": "US",
            "telephone_number": "206-320-2200",
            "fax_number": "206-320-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REPOVIC",
        "first_name": "PAVLE",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "240196",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD 60166620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prepovic757988@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1600 E Jefferson St Ste A",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981225698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.