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PAVEL SVINTOZELSKY MD
NPI 1144868019
Student in an Organized Health Care Education/Training Program in Columbia, MO

Active since December 11, 2019PECOS Enrolled
5083 COMMERCIAL DR, COLUMBIA, MO 65203(573) 814-1170 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2024, Jun 24, 2020, Dec 11, 2019 (3 updates tracked since 2019).

About Pavel Svintozelsky Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAVEL SVINTOZELSKY MD (NPI 1144868019) is an individual student in an organized health care education/training program in Columbia, Missouri, licensed in Missouri (2018038214) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144868019
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePAVEL SVINTOZELSKYCredential: MD
Location Address5083 COMMERCIAL DRColumbia, MO 65203-7291
Mailing Address5083 Commercial DrColumbia, MO 65203-7291 · (573) 279-3819
Phone(573) 814-1170
Sole ProprietorNo
Enumeration DateDecember 11, 2019
Last NPPES UpdateApril 21, 20253 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1144868019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MO · 2018038214
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5083 COMMERCIAL DR, Columbia, MO 65203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pavel Svintozelsky Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Pavel Svintozelsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Big Tree Medical Group LLC
0.2 mi
Family Medicine
200 CORPORATE LAKE DR
Columbia, MO 65203
  • Reassigned Medicare billing, Missouri enrollment
  • 12 clinicians in this Medicare group
NPI 1740858562 (573) 814-1170

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pavel Svintozelsky's NPI number?

The NPI number for Pavel Svintozelsky is 1144868019. It was assigned to this individual provider in the NPPES registry on December 11, 2019.

Where is Pavel Svintozelsky located?

Pavel Svintozelsky practices at 5083 Commercial Dr, Columbia, MO 65203. The listed phone number is (573) 814-1170.

What is Pavel Svintozelsky's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pavel Svintozelsky enrolled in Medicare?

Yes. Pavel Svintozelsky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pavel Svintozelsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pavel Svintozelsky reassigns Medicare benefits to Big Tree Medical Group LLC (Columbia, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pavel Svintozelsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pavel Svintozelsky was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.