PAVEL VLADIMIROVICH LOBANOV (MD) – Anesthesiology Physician, NPI 1124149547

PAVEL VLADIMIROVICH LOBANOV (MD) is a healthcare provider. based in Dresher, Pennsylvania. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. MT 183296 (PA). The NPI Number for PAVEL VLADIMIROVICH LOBANOV (MD) is 1124149547

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
PAVEL VLADIMIROVICH LOBANOV (MD)
NPI
1124149547
Phone
(267) 237-6220
Address
10 MAYO PL
Enumeration Date
3 April 2007
Last Update Date
31 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544581689
Graduation Year
1998 (28 years ago)
PAC ID
6204995509
Group Practice PAC ID
1355651837
Professional Enrollment ID
I20211209002619
Address ID
FL330095527HA306XXBLVD500
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

2,823 ANESTHESIOLOGY in PA

Provider Addresses for PAVEL VLADIMIROVICH LOBANOV (MD)

  • 10 MAYO PL

    DRESHER, PA 190251228

    Phone: (267) 237-6220

    Type: Mailing

  • 12 NEWBURYPORT RD

    UPPER HOLLAND, PA 190531556

    Phone: (215) 860-4110

    Fax: (267) 295-8208

    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: 2021-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100519000846IAnesthesiologyPATBD
I20211209002619IAnesthesiologyFLTBD

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
00142Anesthesia for lens surgery6261$0
00140Anesthesia for other procedure on eye1717$0
View full utilization report →

Insurance plans in this area (ZIP 19025)

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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: 1355651837View full group profile
NameSpecialtyState
Anesthesiology AssistantFL
A N E S T H E S I O L O G YDC
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

How do payers reference PAVEL VLADIMIROVICH LOBANOV (MD)?
For PAVEL VLADIMIROVICH LOBANOV (MD), use NPI 1124149547 as the unique 10-digit identifier.
Is PAVEL VLADIMIROVICH LOBANOV (MD) shown as active in public data?
Registry records indicate PAVEL VLADIMIROVICH LOBANOV (MD) maintains an active NPI.
What expertise is attributed to PAVEL VLADIMIROVICH LOBANOV (MD)?
PAVEL VLADIMIROVICH LOBANOV (MD)'s specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is PAVEL VLADIMIROVICH LOBANOV (MD) associated with Dresher?
Public fields place PAVEL VLADIMIROVICH LOBANOV (MD) around Dresher, Pennsylvania. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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