PRATHEEP PAWA (MD) – Family Medicine Physician, NPI 1205878790

PRATHEEP PAWA (MD) is a healthcare provider. based in Canton, Ohio. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 35085326 (OH). The NPI Number for PRATHEEP PAWA (MD) is 1205878790

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
PRATHEEP PAWA (MD)
NPI
1205878790
Phone
(330) 471-5930
Address
1320 MERCY DR NW
Enumeration Date
11 June 2006
Last Update Date
19 January 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3308632793
Graduation Year
1980 (46 years ago)
PAC ID
3173532652
Group Practice PAC ID
0547156796
Professional Enrollment ID
I20060411000475
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PRATHEEP PAWA (MD)

  • Mercy Medical Center, 1320, Mercy Drive Northwest, Canton, Stark County, Ohio, 44708, United States

    SECOND FLOOR MERCY HALL

    CANTON, OH 447082614

    Phone: (330) 471-5930

    Fax: (330) 471-5938

    Type: Mailing

  • 125, Canton Road Northwest, Bon Air Estates, Carrollton, Brown Township, Carroll County, Ohio, 44615, United States

    CARROLLTON, OH 446151009

    Phone: (330) 627-7641

    Fax: (330) 627-5796

    Type: Location

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: 2006-04-11

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
I20060411000475IFamily PracticeOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes115103$0
99203New patient office or other outpatient visit, 30-44 minutes4242$0
View full utilization report →

Insurance plans in this area (ZIP 44708)

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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: 0547156796View full group profile
NameSpecialtyState
Physician AssistantOH
Family PracticeOH
N E U R O L O G YSD
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Physician AssistantOH
Family PracticeOH
Family PracticeOH
Family Practice, Sports MedicineOH

Reviews

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Frequently asked questions

Can I cross-check PRATHEEP PAWA (MD) using NPI 1205878790?
NPI 1205878790 belongs to PRATHEEP PAWA (MD); compare other details if you need extra assurance.
Is there an active status for PRATHEEP PAWA (MD)?
For scheduling context, PRATHEEP PAWA (MD) is shown as active in the registry.
What kind of doctor is PRATHEEP PAWA (MD)?
PRATHEEP PAWA (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is PRATHEEP PAWA (MD) associated with Canton?
Public fields place PRATHEEP PAWA (MD) around Canton, Ohio. Always confirm the exact site before visiting.
Does PRATHEEP PAWA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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