Individual provider Active NPI

Kevin Petronela Juozapavicius, D.O., MS, BS

  • Emergency Medicine Physician
  • Columbus, MS
National Provider Identifier
1912986480
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.010626 Issued in OH
Practice address
201 Independence
Columbus Afb
Columbus, MS 39710-5300
Phone
(662) 434-2273
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4305 OK
Emergency Medicine Physician 207P00000X 34.010626 OH Primary

Addresses

Primary practice location

201 Independence
Columbus Afb
Columbus, MS 39710-5300

Mailing address

1087 Stark Rd
Apt 5E
Starkville, MS 39759-3537
Phone (918) 510-0116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20131001000569 OH Practitioner - Emergency Medicine 8022242254 Reassigns benefits to 2 organizations
I20260112003173 KY Practitioner - Emergency Medicine 8022242254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians

Practice addresses (Care Compare)

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 369-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Doctor of Osteopathy, Master of Science

State licenses

LicenseStateTypeSpecialty
4305OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Valley Emergency Specialists, LLC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jul 22, 2013 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Dec 6, 2025 Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

2400 Lakeview Dr
#150
Beavercreek, OH 45431

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394

6939 Cox Rd
Liberty Township, OH 45069
Phone (513) 206-1460

300 Austin West Blvd
Miamisburg, OH 45342
Phone (937) 388-7911

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

Organizations & group practices 3

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 1

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1912986480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 STARK RD",
            "address_2": "APT 5E",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593537",
            "telephone_number": "918-510-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 INDEPENDENCE",
            "address_2": "COLUMBUS AFB",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397105300",
            "telephone_number": "662-434-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUOZAPAVICIUS",
        "first_name": "KEVIN",
        "middle_name": "PETRONELA",
        "name_prefix": "Dr.",
        "credential": "D.O., MS, BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4305",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.010626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.