PRIVI PAUSKAR (M.D.) – Internal Medicine Physician, NPI 1174699540

PRIVI PAUSKAR (M.D.) is a healthcare provider. based in North canton, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35088667 (OH). The NPI Number for PRIVI PAUSKAR (M.D.) is 1174699540

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
PRIVI PAUSKAR (M.D.)
NPI
1174699540
Phone
(330) 433-1200
Address
6046 WHIPPLE AVE NW
Enumeration Date
28 November 2006
Last Update Date
8 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304331200
Graduation Year
1997 (29 years ago)
PAC ID
3274532619
Group Practice PAC ID
4082605266
Professional Enrollment ID
I20061212000291
Address ID
OH447207616NO6046XNWXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for PRIVI PAUSKAR (M.D.)

  • Whipple Avenue Northwest, Harter Heights, Canton, Stark County, Ohio, 44720, United States

    NORTH CANTON, OH 447207616

    Phone: (330) 433-1200

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061212000291IInternal MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes406186$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit139139$0
G0008Administration of influenza virus vaccine6363$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage6262$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit2727$0
View full utilization report →

Insurance plans in this area (ZIP 44720)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082605266View full group profile

Reviews

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Frequently asked questions

How do payers reference PRIVI PAUSKAR (M.D.)?
For PRIVI PAUSKAR (M.D.), use NPI 1174699540 as the unique 10-digit identifier.
Is there an active status for PRIVI PAUSKAR (M.D.)?
For scheduling context, PRIVI PAUSKAR (M.D.) is shown as active in the registry.
What clinical focus is listed for PRIVI PAUSKAR (M.D.)?
At a glance, PRIVI PAUSKAR (M.D.) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is PRIVI PAUSKAR (M.D.) registered?
Use North Canton, Ohio as the headline location for PRIVI PAUSKAR (M.D.) here.
Can I trust this NPI listing for PRIVI PAUSKAR (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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