Pavel Jedlicka, MD
Pathology, Pediatric Pathology in Aurora, CO. Individual provider (NPI-1).
NPI number1992892947
StatusActive
Last updated in NPPESJul 3, 2024
Details
- NPI
- 1992892947
- Entity type
- Individual (NPI-1)
- Name
- Pavel Jedlicka
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2006
- Certification date
- Jul 3, 2024
- Last updated
- Jul 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PATHOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0213X | Pathology, Pediatric Pathology | DR.0040412 | CO | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | DR.0040412 | CO |
Practice location
13123 E 16th AveAurora, CO 80045-7106
Phone 720-777-1234
Mailing address
Po Box 110429Aurora, CO 80042-0429
Phone 303-493-7000 · Fax 303-493-7202
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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