Individual provider Active NPI

Brian Pavlas, DPM

  • Podiatrist
  • Miami, FL
National Provider Identifier
1982659710
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3232 Issued in FL
Practice address
4821 SW 64TH CT
Miami, FL 33155-6105
Phone
(786) 999-4840
Fax
(305) 356-7150
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3232 FL Primary

Addresses

Primary practice location

4821 SW 64TH CT
Miami, FL 33155-6105

Mailing address

4821 SW 64TH CT
Miami, FL 33155-6105
Phone (786) 999-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070523000445 FL Practitioner - PodiatryPractitioner - Vascular Surgery 3678670882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Vascular Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4821 SW 64TH Court
Miami, FL 33155-6105
Phone (305) 968-0644

Hospital & facility affiliations

  • The Palace at Home Home health agency, Miami, FL, CCN 107653

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Pavlas DPM PA Podiatrist CurrentSince May 15, 2006 Accepting new patients
C Marzouka Professional Services Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brian.pavlas.p1@direct.caremax.nextgenshare.com

Organizations & group practices 2

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1982659710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 SW 64TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556105",
            "telephone_number": "786-999-4840",
            "fax_number": "305-356-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 SW 64TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556105",
            "telephone_number": "786-999-4840",
            "fax_number": "305-356-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLAS",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.