Individual provider Active NPI

Pavel Moldavskiy, M.D.

  • Orthopaedic Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1942623582
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A128600 Issued in CA
Practice address
300 Old River Rd Ste 200
Bakersfield, CA 93311-9506
Phone
(661) 664-2300
NPI assigned
Feb 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A128600 CA Primary

Addresses

Primary practice location

300 Old River Rd Ste 200
Bakersfield, CA 93311-9506

Mailing address

300 Old River Rd Ste 200
Bakersfield, CA 93311-9506
Phone (661) 664-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20180918003075 CA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 2062789589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
University of Southern California Keck School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

2701 Chester Ave
Bakersfield, CA 93301-2016

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128600CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 1, 2021 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 1, 2021 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

2701 Chester Ave
Ste 101
Bakersfield, CA 93301
Phone (661) 716-9400

2701 Chester Ave
Ste 202
Bakersfield, CA 93301
Phone (661) 716-9410

432 Lexington St
Ste A
Delano, CA 93215
Phone (661) 375-5871

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

20211 W Valley Blvd
Tehachapi, CA 93561
Phone (661) 443-0088

Organizations & group practices 6

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 2

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": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1942623582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OLD RIVER RD STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119506",
            "telephone_number": "661-664-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD RIVER RD STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119506",
            "telephone_number": "661-664-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDAVSKIY",
        "first_name": "PAVEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-03",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A128600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.