Active NPI
Pablo Martin Elizalde, M.D.
- Cardiovascular Disease Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 045206
- Practice address
- 4700 Waters Ave Ste 400
Savannah, GA 31404 - Phone
- (912) 273-1100
- Fax
- (912) 273-1111
- NPI assigned
- Sep 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 045206 | GA | Primary |
Addresses
Primary practice location
4700 Waters Ave Ste 400
Savannah, GA 31404
Mailing address
4700 Waters Ave Ste 400
Savannah, GA 31404-6220
Phone (912) 273-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00794571A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Florida College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Waters Ave
Suite 400
Savannah, GA 31404-6220
Phone (912) 273-1100
Hospital & facility affiliations
- Savannah Health Services LLC Dba Memorial Health University Medical Center
- Wayne Memorial Hospital
- Effingham Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savannah Multispecialty Associates, LLC | Current | Accepting new patients | |
| Effingham Hospital, Inc. | Past | Accepting new patients |
Locations
230 Memorial Dr
Jesup, GA 31545
Phone (478) 427-8418
131 Peachtree St
Jesup, GA 31545
Phone (912) 264-5961
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
4700 Waters Ave
Ste 400
Savannah, GA 31404
Phone (912) 273-1100
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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.
-
- Trauma Surgery Physician
- Savannah, GA
- NPI 1528571320
-
- Otolaryngology Physician
- Springfield, GA
- NPI 1881588028
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Springfield, GA
- NPI 1811962756
-
- General Acute Care Hospital
- Jesup, GA
- NPI 1770578999
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1831290055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 WATERS AVE STE 400",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046220",
"telephone_number": "912-273-1100",
"fax_number": "912-273-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 WATERS AVE STE 400",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31404",
"telephone_number": "912-273-1100",
"fax_number": "912-273-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIZALDE",
"first_name": "PABLO",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "045206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00794571A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.