MATTHEW MARTIN PAVELKA MD
NPI 1790591428
Student in an Organized Health Care Education/Training Program in Durham, NC

Active since December 06, 2024PECOS Enrolled
2301 ERWIN RD, DURHAM, NC 27705(919) 681-1563 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2025, Dec 15, 2024, Dec 6, 2024 (3 updates tracked since 2024).

About Matthew Martin Pavelka Md NPPES

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

MATTHEW MARTIN PAVELKA MD (NPI 1790591428) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790591428
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW MARTIN PAVELKACredential: MD
Location Address2301 ERWIN RDDurham, NC 27705-4699
Mailing Address2301 Erwin RdDurham, NC 27705-4699
Sole ProprietorYes
Enumeration DateDecember 6, 2024
Last NPPES UpdateMay 28, 20253 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
NPI 1790591428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
2301 ERWIN RD, Durham, NC 27705

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew Martin Pavelka 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.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
2301 ERWIN RD
DURHAM, NC 27705
Psychiatry & Neurology (Psychiatry)
2301 ERWIN RD
DURHAM, NC 27705
Anesthesiology
2301 ERWIN RD
DURHAM, NC 27705
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD
DURHAM, NC 27705
Nurse Practitioner (Family)
2301 ERWIN RD
DURHAM, NC 27705
Psychiatry & Neurology (Neurology)
2301 ERWIN RD
DURHAM, NC 27705
Surgery (Vascular Surgery)
2301 ERWIN RD
DURHAM, NC 27705
Emergency Medicine
2301 ERWIN RD
DURHAM, NC 27705

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 Matthew Pavelka's NPI number?

The NPI number for Matthew Pavelka is 1790591428. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Where is Matthew Pavelka located?

Matthew Pavelka practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 681-1563.

What is Matthew Pavelka's specialty?

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

Is Matthew Pavelka enrolled in Medicare?

Yes. Matthew Pavelka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Pavelka was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.