Active NPI
James C Pavelka, M.D.
- Gynecologic Oncology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 35-092322
- Practice address
- 3219 Clifton Ave
Suite 100
Cincinnati, OH 45220-3027 - Phone
- (513) 862-1888
- Fax
- (513) 862-3616
- NPI assigned
- Mar 2, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 24369 | KY | |
| Gynecologic Oncology Physician | 207VX0201X | A92102 | CA | |
| Gynecologic Oncology Physician | 207VX0201X | 35-092322 | OH | Primary |
Addresses
Primary practice location
3219 Clifton Ave
Suite 100
Cincinnati, OH 45220-3027
Mailing address
PO Box 635063
Cincinnati, OH 45263-5063
Phone (513) 569-2043
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7900073650 | Medicaid | KY | |
| 2905824 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- Ohio State University College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-4723
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 246-2400
10506 A Montgomery Rd
Montgomery, OH 45242-4402
238 Barnes Rd
Williamstown, KY 41097-9482
Phone (859) 301-4000
3219 Clifton Ave
Suite 100
Cincinnati, OH 45220-3035
Phone (513) 463-4300
375 Dixmyth Ave
Cincinnati, OH 45220-2475
379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000
85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 572-3100
Hospital & facility affiliations
- St Elizabeth Edgewood
- Good Samaritan Hospital
- Bethesda North
- St Elizabeth Florence
- St Elizabeth Ft Thomas
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of the uterus | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24369 | KY | MD | Specialist |
| A92102 | CA | MD | Gynecologic Oncology Physician |
| 35-092322 | OH | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Elizabeth Medical Center, Inc | Specialist | Current | Accepting new patients |
| Trihealth G LLC | Current | Accepting new patients | |
| Trihealth G, LLC | Current | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| Trihealth H LLC | Current | Accepting new patients | |
| Trihealth Physician Institute | Past | Accepting new patients | |
| The Good Samaritan Hospital of Cincinnati, Ohio | Past | Accepting new patients |
Locations
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
3219 Clifton Ave
Ste 100
Cincinnati, OH 45220
Phone (513) 862-1888
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
6350 Glenway Ave
Ste 201
Cincinnati, OH 45211
Phone (513) 662-8507
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
10498 Montgomery Rd
Montgomery, OH 45242
Phone (513) 793-6894
7759 University Dr
Ste D
West Chester, OH 45069
Phone (513) 463-4300
Interoperability endpoints
- jpavelka22089@direct.trihealth.com
Organizations & group practices 7
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.
-
- Obstetrics Physician
- Cincinnati, OH
- NPI 1811215742
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1295862944
-
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- Nurse Practitioner
- Cincinnati, OH
- NPI 1922051697
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
-
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1861521460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635063",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635063",
"telephone_number": "513-569-2043",
"fax_number": "513-569-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 CLIFTON AVE",
"address_2": "SUITE 100",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452203027",
"telephone_number": "513-862-1888",
"fax_number": "513-862-3616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVELKA",
"first_name": "JAMES",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "24369",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "CA",
"license": "A92102",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "OH",
"license": "35-092322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7900073650",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2905824",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.