Joel L Pelavin, M.D.,P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

JP042865 Issued in MI

Practice address

29750 Harper Ave
Saint Clair Shores, MI 48082-2607

Phone

(586) 296-7770

Fax

(586) 296-9617

NPI assigned

Mar 25, 2006

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 MI

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

Specialty

Ophthalmology

Education

Wayne State University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastside Eye Physicians PCGroup PAC ID 3678560018, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.34 of 100Reported as group

Quality

89.52

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joel.pelavin.1@26200.direct.athenahealth.com
• Direct secure messaging: jpelavin1144243@direct.hfhs.org

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.

• Eastside Eye Physicians, PC

  • Ophthalmology Physician
  • Saint Clair Shores, MI
  • NPI 1093814188
  Medicare reassignment Care Compare group NPD
• Eastside Eye Physicians, PC

  • Eyewear Supplier
  • Shelby Township, MI
  • NPI 1487782470
  NPD (past)
• Eastside Eye Physicians, PC

  • Eyewear Supplier
  • Saint Clair Shores, MI
  • NPI 1629106240
  NPD (past)

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1881654655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29750 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822607",
            "telephone_number": "586-296-7770",
            "fax_number": "586-296-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29750 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822607",
            "telephone_number": "586-296-7770",
            "fax_number": "586-296-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAVIN",
        "first_name": "JOEL",
        "middle_name": "L",
        "credential": "M.D.,P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "JP042865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Rudolph Paver, D.D.S.
• Abbey Pavlosky, PTA
• Lisa Ann Peabody, RPH
• Emma Peck
• Rikki Pedersen
• Benedict P. Pellerito, M.D.
• Courtney Pellerito
• Christine Ann Peltier
• Stephanie Penner, PTA
• Katrina M Peplinski, LLMSW

• Ophthalmology Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.