Active NPI
John Damon Pavlus, M.D.
- Diagnostic Radiology Physician
- Lauderdale Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME163990
- 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, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME163990 | FL | MD | Diagnostic Radiology Physician |
| 036149415 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Southwest Louisiana | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Current | Accepting new patients |
| County of Clay | Current | Accepting new patients | |
| County of Clay | Current | Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Good Samaritan Regional Health Center | Current | Accepting new patients | |
| Medical X-Ray Consultants, LTD | Diagnostic Radiology | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current | Accepting new patients |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| River City Imaging Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| River City Imaging Centers LLC | Current | Accepting new patients | |
| Pikeville Medical Center, Inc. | Current | Accepting new patients | |
| Radiology Affiliates of Central New Jersey PC | Diagnostic Radiology | Current | Accepting new patients |
| Specialists in Medical Imaging SC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Synergy Radiology Associates PLLC | Current | Accepting new patients | |
| Premier Radiology Wisconsin, LLC | Diagnostic Radiology | Current | 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 | Past | 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 | Past | 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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Diagnostic Radiology Physician
- Mount Pleasant, WI
- NPI 1952951154
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1487758801
-
dba SSM Health St. Mary's Hospital - Centralia
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
TX
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1629592464
TX
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
TX
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS Santa Rosa Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1194787218
-
dba MultiCare Deaconess Hospital
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
-
dba MultiCare Valley Hospital
- General Acute Care Hospital
- Spokane Valley, WA
- NPI 1538345251
-
dba MultiCare Capital Medical Center
- General Acute Care Hospital
- Olympia, WA
- NPI 1841258639
-
dba Ascension St. Vincent Hospital
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
dba Ascension St. Vincent - Avon
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.