Individual provider Active NPI

Razvan Andrei Pavelescu, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1699032672
Registry record updated Apr 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006786 Issued in NY
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04914985MedicaidNY

Other names 1

  • Dr. Andrew R Pavelescu Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220603000841 FL Practitioner - Podiatry 7113219437 Reassigns benefits to 1 organization

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of tissue619
Removal of skin lesions11
Removal of nail tissue683
Removal or shaving of skin growth303
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4329FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael T. McCormick & Associates PA Foot & Ankle Surgery CurrentSince Jun 27, 2022 Accepting new patients
Michael T. McCormick & Associates PA Foot & Ankle Surgery CurrentSince Jun 27, 2022 Accepting new patients
New York University PastSince Jul 1, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.