P Praxis·MD
● Active Type 1 · Individual

Jeremiah Daniel Pavelka, MD

Emergency Medicine·Fort Worth, TX· NPI 1902366370 · Enumerated 2019 · 7 years on NPI
Pavelka is 1 of 238 emergency medicine providers in Fort Worth and 1 of 6039 in Texas.
NPI age
7 years
Enumerated 2019-03-22
Primary specialty
Emergency Medicine
Plus 2 subspecialties
Licensed in
AZ, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-08-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 6039 active emergency medicine providers in Texas.

NPI age
7 years
↓ 8 yr below median (15 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
1
In the 43% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Practice location
1500 S Main St
Fort Worth, TX 761044917
📞 8177028840
Mailing address
1744 E Evergreen St
Mesa, AZ 852035802
📞 7022817873

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1400 S Dobson Rd
Mesa, AZ 85202
📞 7022817873

Specialties

  • Emergency Medicine Primary
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    AZ license #69466TX license #T2715 taxonomy 207P00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 958 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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