Individual provider Active NPI

Michael William Pavlisin, M.D.

  • Hospitalist Physician
  • Saint Joseph, MO
National Provider Identifier
1831637099
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2022019864 Issued in MO
Practice address
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone
(816) 271-6000
NPI assigned
Feb 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2022019864 MO Primary
Internal Medicine Physician 207R00000X 2022019864 MO

Addresses

Primary practice location

5325 Faraon St
Saint Joseph, MO 64506-3488

Mailing address

6304 N Wayne Ave
Gladstone, MO 64118-4953
Phone (314) 620-8941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250801003604 MO Practitioner - HospitalistPractitioner - Internal Medicine 7113299017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Center Association Inc CurrentSince Jul 21, 2025 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Jul 21, 2025 Accepting new patients
Heartland Regional Medical Center CurrentSince Jul 21, 2025 Accepting new patients
Heartland Regional Medical Center Internal Medicine CurrentSince Jul 21, 2025 Accepting new patients
Mosaic Medical Center - Maryville Internal Medicine CurrentSince Jul 21, 2025 Accepting new patients
Heartland Regional Medical Center Internal Medicine Current Accepting new patients
Northwest Medical Center Association Inc CurrentSince Jul 21, 2025 Accepting new patients
Heartland Regional Medical Center Past Accepting new patients

Locations

705 N College St
Albany, MO 64402
Phone (660) 726-3941

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

Interoperability endpoints

  • Direct secure messaging: mpavlisin93010@direct.saint-lukes.org

Organizations & group practices 8

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 2

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": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1831637099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 N WAYNE AVE",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184953",
            "telephone_number": "314-620-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063488",
            "telephone_number": "816-271-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLISIN",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-08",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2022019864",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2022019864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.