Pavel Conovalciuc, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00045826 Issued in WA

Practice address

1502 N Vercler Rd
Spokane Valley, WA 99216-1078

Phone

(509) 444-8204

Fax

(509) 434-0321

NPI assigned

Jun 30, 2006

Last updated

Oct 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, NJ, NC, TX, KY, IN, MN, NM, SD, OR, IL, WV12 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 12

Specialty

Family Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ep Medical LLC

  • Nurse Practitioner
  • Campbellsville, KY
  • NPI 1235863218
  Medicare reassignment NPD
• Lens Clinical Services

  • Family Medicine Physician
  • John Day, OR
  • NPI 1922738582
  Medicare reassignment NPD
• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354

  Family Medicine

  Medicare reassignment NPD
• Regis Healthcare Inc

  • Multi-Specialty Clinic/Center
  • Hopkinsville, KY
  • NPI 1689261422

  Family Medicine

  Medicare reassignment NPD
• T & T Drugs

  dba T & T Drug Clinical Services

  • Multi-Specialty Clinic/Center
  • Henderson, KY
  • NPI 1578200788

  Family Medicine

  Medicare reassignment NPD
• Vaxon Solutions LLC

  • Multi-Specialty Clinic/Center
  • Cary, NC
  • NPI 1982341137

  Family Medicine

  Medicare reassignment NPD
• Virtualcare Medical Group of NV-Feng PC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1962199679

  WA

  Medicare reassignment NPD
• Virtualcare Medical Group PA

  • Family Medicine Physician
  • Gaithersburg, MD
  • NPI 1194308809

  WA

  Medicare reassignment NPD
• Healthtap Medical Group, P.C.

  • General Practice Physician
  • Portola Valley, CA
  • NPI 1518330539

  IL, IN, KY, MN, NC, NM, WA, WV

  Medicare reassignment
• Mercury Pharmacy Services Inc

  dba Mercury Pharmacy Services

  • Long Term Care Pharmacy
  • Mountlake Terrace, WA
  • NPI 1073659694
  NPD
• Andrews Medical, LLC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1639760374

  Family Medicine

  NPD
• Ap Shelbyville, Inc

  dba Andrews Pharmacy

  • Community/Retail Pharmacy
  • Shelbyville, KY
  • NPI 1417382029
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1720017080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 E CLOVER AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992178759",
            "telephone_number": "509-368-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N VERCLER RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161078",
            "telephone_number": "509-444-8204",
            "fax_number": "509-434-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOVALCIUC",
        "first_name": "PAVEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00045826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J Conley, PT
• Shawn Michael Conlon, LMP
• Thomas Oliver Conlon, DDS
• Jessica J Connolly, O.D.
• Heather Marie Connor, ARNP
• Trinity Contos
• Joshua L Conway, DDS
• Lars Thomas Conway, MD
• Bradley J Cook, MD
• James Douglas Cook

• Family Medicine Physician in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.

Verify at the official NPI Registry.