Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Rostislav Pavlik, MD

Individual provider Anesthesiology Physician · NPI 1558495986

Dr. Rostislav Pavlik, MD is an Anesthesiology in Fort Collins, Colorado. Qualified in 1997, 29 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, California, Colorado and New Jersey and 2 more.

Years since qualifying
29
Licensed in
AZ, CA, CO, NJ, NY, WY
In the registry since
2007
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1236 E Elizabeth St Ste 1
Fort Collins, CO 80524-4000
Phone: (970) 224-2985
Fax: (970) 472-9381
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2400 S Avenue A, Yuma, AZ 85364-7170 — (928) 344-2000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 44649 (CO)
Anesthesiology Physician Taxonomy 207L00000X · Licence 25MA08128500 (NJ)
Anesthesiology Physician Taxonomy 207L00000X · Licence 35406 (AZ)
Anesthesiology Physician Taxonomy 207L00000X · Licence A96373 (CA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 238208-1 (NY)
Anesthesiology Physician Taxonomy 207L00000X · Licence 8281A (WY)

Record details

NPI number1558495986
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 15, 2007
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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