Individual provider Active NPI

John Damon Pavlus, M.D.

  • Diagnostic Radiology Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1912260472
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME163990 Issued in FL
Practice address
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503
Phone
(954) 730-2838
NPI assigned
Jun 20, 2012
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036149415 IL
Diagnostic Radiology Physician 2085R0202X R9837 TX
Diagnostic Radiology Physician 2085R0202X ME163990 FL Primary
Vascular & Interventional Radiology Physician 2085R0204X R9837 TX

Addresses

Primary practice location

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503

Mailing address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 539-9582

Other practice location 1

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 539-9582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, WI, TN, IL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20181219003426 TX Practitioner - Diagnostic Radiology 4789929795 Reassigns benefits to 17 organizations
I20230923000359 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4789929795 Reassigns benefits to 1 organization
I20250207001903 WI Practitioner - Diagnostic Radiology 4789929795 Reassigns benefits to 1 organization
I20250407000130 TN Practitioner - Diagnostic Radiology 4789929795 Reassigns benefits to 1 organization
I20260115002707 IL Practitioner - Diagnostic Radiology 4789929795 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78204
Phone (219) 757-6320

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

311 S L St
Tacoma, WA 98405-3720

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

5 Good Samaritan Way
Mount Vernon, IL 62864-2414
Phone (557) 203-1601

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME163990FLMDDiagnostic Radiology Physician
036149415ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince May 9, 2024 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Jun 22, 2023 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Feb 2, 2023 Accepting new patients
Multicare Health System CurrentSince Aug 30, 2023 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
County of Clay CurrentSince Jan 13, 2026 Accepting new patients
County of Clay CurrentSince Jan 13, 2026 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Sep 2, 2024 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Feb 13, 2024 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Dec 10, 2025 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Sep 26, 2025 Accepting new patients
Multicare Health System CurrentSince Aug 30, 2023 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 10, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 11, 2019 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Jan 10, 2026 Accepting new patients
River City Imaging Associates PA Diagnostic Radiology CurrentSince Aug 2, 2024 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Feb 13, 2023 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 10, 2025 Accepting new patients
River City Imaging Centers LLC CurrentSince May 9, 2021 Accepting new patients
Pikeville Medical Center, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Sep 14, 2024 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Jan 30, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jul 5, 2023 Accepting new patients
Pikeville Medical Center Inc CurrentSince Oct 9, 2023 Accepting new patients
Synergy Radiology Associates PLLC CurrentSince Sep 16, 2020 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Orange City Municipal Hospital Diagnostic Radiology Past Accepting new patients
GMG Health Systems Associates PA Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
Rose Imaging Specialists PA Diagnostic Radiology Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Sanford Clinic Diagnostic Radiology Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
Wisconsin Radiology Specialists, S C Past Accepting new patients
Georgia Radiology Imaging Consultants, LLC Diagnostic Radiology Past Accepting new patients
Progressive Physician Assoc Inc Diagnostic Radiology PastSince Mar 1, 2022 Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 55)

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980

10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273

13420 N Meridian St
Ste 100
Carmel, IN 46032
Phone (317) 582-7474

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

13914 Southeastern Pkwy
Ste 101
Fishers, IN 46037
Phone (317) 338-9595

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8050 Township Line Rd
Indianapolis, IN 46260
Phone (317) 338-3070

8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921

8301 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 415-6693

8414 Naab Rd
Ste 130
Indianapolis, IN 46260
Phone (317) 338-7687

8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540

8550 Naab Rd
Ste 110
Indianapolis, IN 46260
Phone (317) 338-2041

8550 Naab Rd
Ste 300
Indianapolis, IN 46260
Phone (317) 338-9590

8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

305 S Berkley Rd
Kokomo, IN 46901
Phone (317) 457-4800

2412 E Main St
Plainfield, IN 46168
Phone (317) 204-6800

Organizations & group practices 42

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.

View all 42

Hospital & facility affiliations 6

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1912260472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-539-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W OAKLAND PARK BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131503",
            "telephone_number": "954-730-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-539-9582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLUS",
        "first_name": "JOHN",
        "middle_name": "DAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036149415",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R9837",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME163990",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "R9837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.