Active NPI
Razvan Andrei Pavelescu, DPM
- Foot & Ankle Surgery Podiatrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 006786
- Practice address
- 14 Penn PLZ Ste 1005
New York, NY 10122-1005 - Phone
- (212) 564-7644
- Fax
- (212) 564-7645
- NPI assigned
- Apr 16, 2012
- Last updated
- Apr 23, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4329 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 006786 | NY | Primary |
Addresses
Primary practice location
14 Penn PLZ Ste 1005
New York, NY 10122-1005
Mailing address
22 W 85TH St Apt 3B
New York, NY 10024-4535
Phone (734) 837-2180
Other practice location 1
16216 Union Tpke Ste 306
Fresh Meadows, NY 11366-1960
Phone (718) 380-7900
Other practice location 2
115 Shamrock Blvd
Venice, FL 34293-1630
Phone (941) 493-8666
Other practice location 3
17835 Murdock Cir
Port Charlotte, FL 33948-4000
Phone (941) 624-6300
Other practice location 4
2001 S McCall Rd
Englewood, FL 34223-4500
Phone (941) 473-0113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04914985 | Medicaid | NY |
Other names 1
- Dr. Andrew R Pavelescu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Shamrock Blvd
Venice, FL 34293-1630
Phone (941) 493-8666
Hospital & facility affiliations
- Patients First Home Care LLC
- Trilogy Home Healthcare
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 17 |
| Removal of tissue | 619 |
| Removal of skin lesions | 11 |
| Removal of nail tissue | 683 |
| Removal or shaving of skin growth | 303 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO4329 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael T. McCormick & Associates PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Michael T. McCormick & Associates PA | Foot & Ankle Surgery | Current | Accepting new patients |
| New York University | Past | Accepting new patients |
Locations
2001 S McCall Rd
Englewood, FL 34223
Phone (941) 473-0113
115 Shamrock Blvd
Venice, FL 34293
Phone (941) 493-8666
Interoperability endpoints
- rpavelescu@usfas.emadirect.md
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Venice, FL
- NPI 1710104583
-
- Durable Medical Equipment & Medical Supplies
- Port Charlotte, FL
- NPI 1982418190
Foot & Ankle Surgery
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sarasota, FL
- NPI 1245845312
-
dba Sarasota Memorial Hospital - Venice
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
dba Trilogy Home Healthcare
- Home Health Agency
- Sarasota, FL
- NPI 1073751780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650672000000",
"number": "1699032672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 W 85TH ST APT 3B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100244535",
"telephone_number": "734-837-2180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 PENN PLZ STE 1005",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101221005",
"telephone_number": "212-564-7644",
"fax_number": "212-564-7645"
}
],
"practiceLocations": [
{
"address_1": "16216 Union Tpke Ste 306",
"address_purpose": "LOCATION",
"city": "Fresh Meadows",
"state": "NY",
"postal_code": "113661960",
"country_code": "US",
"telephone_number": "718-380-7900",
"fax_number": "718-380-5322",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Shamrock Blvd",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "FL",
"postal_code": "342931630",
"country_code": "US",
"telephone_number": "941-493-8666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17835 Murdock Cir",
"address_purpose": "LOCATION",
"city": "Port Charlotte",
"state": "FL",
"postal_code": "339484000",
"country_code": "US",
"telephone_number": "941-624-6300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 S McCall Rd",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "FL",
"postal_code": "342234500",
"country_code": "US",
"telephone_number": "941-473-0113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAVELESCU",
"first_name": "RAZVAN",
"middle_name": "ANDREI",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-16",
"last_updated": "2022-04-23",
"certification_date": "2022-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO4329",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "006786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04914985",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREW",
"last_name": "PAVELESCU",
"middle_name": "R",
"prefix": "DR.",
"credential": "DPM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2022; 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.