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PRATHEEP PAWA MD
NPI 1205878790
Family Medicine in Carrollton, OH

Active since June 11, 2006PECOS Enrolled
125 CANTON RD NW, CARROLLTON, OH 44615(330) 627-7641(330) 627-5796 Get Directions Write a Review

NPPES record last updated: January 19, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pratheep Pawa Md NPPES

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

PRATHEEP PAWA MD (NPI 1205878790) is an individual family medicine provider in Carrollton, Ohio, licensed in Ohio (35085326) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205878790
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePRATHEEP PAWACredential: MD
Location Address125 CANTON RD NWCarrollton, OH 44615-1009
Mailing Address1320 Mercy Dr Nw, Second Floor Mercy HallCanton, OH 44708-2614 · (330) 471-5930 · Fax (330) 471-5938
Phone(330) 627-7641
Fax(330) 627-5796
Sole ProprietorNo
Enumeration DateJune 11, 2006
Last NPPES UpdateJanuary 19, 2011
✔ NPI 1205878790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35085326
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 35085326 (OH)
125 CANTON RD NW, Carrollton, OH 44615
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Other Identifiers 11

Medicare UPINI51231
Medicare PIN4180314OH
Medicaid2700189OH
Medicare PIN4180312OH
OtherP00314038OH · Railroad Care
Other000000484955OH · Anthem, Bc/bs Office
Other196433OH · Wellcare Urgent Care
Other352588OH · Wellcare Office
Other340714684101OH · Careource Urgent Care
Other000000386187OH · Anthem Bc/bs Urgent Care
Other340714684105OH · Caresource Office

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pratheep Pawa 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 Reassignments

2

Medicare enrollment records show Pratheep Pawa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cleveland Clinic Mercy Hospital
21 mi
Dental
1459 SUPERIOR AVE NE
Canton, OH 44705
  • Reassigned Medicare billing, Ohio enrollment
  • 235 clinicians in this Medicare group
NPI 1023362100 (330) 588-4893
Emergency Professional Services, Inc.
175 mi
Emergency Medicine
230 MEDICAL CENTER DR
Seaman, OH 45679
  • Reassigned Medicare billing, Ohio enrollment
  • 894 clinicians in this Medicare group
NPI 1093762353 (937) 386-3400

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44615 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY WAYNE CLARK D.O.
Family Medicine
125 CANTON RD NW
CARROLLTON, OH 44615
Carroll County (330) 627-7641
KAREN SHELLENBARGER PTA
Physical Therapy Assistant
125 CANTON RD NW
CARROLLTON, OH 44615
Carroll County (330) 627-8873
STEPHANIE DOVE ECKLES NP-C
Nurse Practitioner (Family)
125 CANTON RD NW
CARROLLTON, OH 44615
Carroll County (330) 627-7641
MRS. CHELSEA DELYNN PRINCE PA-C
Physician Assistant (Medical)
125 CANTON RD NW
CARROLLTON, OH 44615
Carroll County (330) 627-7641
MRS. WENDY DANIELLE WILEY FNP-C
Nurse Practitioner (Family)
125 CANTON RD NW
CARROLLTON, OH 44615
Carroll County (330) 627-7641
ANNETTE MARIE DEMOS P.T.
Physical Therapist
125 CANTON RD NW
CARROLLTON, OH 44615
Carroll County (330) 627-7641
CLEVELAND CLINIC MERCY HOSPITAL
Rehabilitation Hospital
125 CANTON RD NW
CARROLLTON, OH 44615
Carroll County (330) 627-8873
CLEVELAND CLINIC MERCY HOSPITAL
General Practice
125 CANTON RD NW
CARROLLTON, OH 44615
Carroll County (330) 489-1362

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 Pratheep Pawa's NPI number?

The NPI number for Pratheep Pawa is 1205878790. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Pratheep Pawa located?

Pratheep Pawa practices at 125 Canton Rd NW, Carrollton, OH 44615. The listed phone number is (330) 627-7641.

What is Pratheep Pawa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pratheep Pawa enrolled in Medicare?

Yes. Pratheep Pawa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pratheep Pawa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratheep Pawa reassigns Medicare benefits to 2 organizations: Cleveland Clinic Mercy Hospital (Canton, OH) and Emergency Professional Services, Inc. (Seaman, OH). Each 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 Pratheep Pawa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pratheep Pawa accept?

Health plans from CareSource list Pratheep Pawa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pratheep Pawa was last updated on January 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.