PAVEL ITERSKY DO
NPI 1205332251
Internal Medicine - Endocrinology, Diabetes & Metabolism in Philadelphia, PA

Q: What is Pavel Itersky's NPI number?

The NPI number for Pavel Itersky is 1205332251. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Q: What is Pavel Itersky's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Pavel Itersky was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 30, 2018PECOS EnrolledAccepts Medicare Assignment

9501 ROOSEVELT BLVD STE 300, PHILADELPHIA, PA 19114(215) 969-9511(215) 969-9512 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2025, Aug 8, 2025, Jan 6, 2023 and 1 more (4 updates tracked since 2018).

On this page

About Pavel Itersky Do NPPES

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

PAVEL ITERSKY DO (NPI 1205332251) is an individual endocrinology, diabetes & metabolism provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS021983) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2018).

NPPES Registry Identity

NPI1205332251

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NamePAVEL ITERSKYCredential: DO

Location Address9501 ROOSEVELT BLVD STE 300Philadelphia, PA 19114-1028

Mailing Address9501 Roosevelt Blvd Ste 300Philadelphia, PA 19114-1028 · (215) 969-9511 · Fax (215) 969-9512

Phone(215) 969-9511

Fax(215) 969-9512

Sole ProprietorYes

Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2018

Enumeration DateMarch 30, 2018

Last NPPES UpdateAugust 13, 20254 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1205332251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in PA · OS021983

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedHospitalistTaxonomy 208M00000X · License OS021983 (PA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9501 ROOSEVELT BLVD STE 300, Philadelphia, PA 19114

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pavel Itersky Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224460019

PECOS Enrollment IDI20220524001146

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390115

Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier17 claims17 services$12.40 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier17 claims17 services$59.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Itersky's NPI number?

The NPI number for Pavel Itersky is 1205332251. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Pavel Itersky located?

Pavel Itersky practices at 9501 Roosevelt Blvd Ste 300, Philadelphia, PA 19114. The listed phone number is (215) 969-9511.

What is Pavel Itersky's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Pavel Itersky enrolled in Medicare?

Yes. Pavel Itersky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Pavel Itersky affiliated with any hospitals?

According to CMS data, Pavel Itersky is affiliated with Jefferson Health- Northeast.

When was this NPI record last updated?

The NPPES record for Pavel Itersky was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.