Individual provider Active NPI

Paul A Feldman, M.D.

  • Gastroenterology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1033273750
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME96966 Issued in FL
Practice address
1900 E Commercial Blvd Ste 201
Fort Lauderdale, FL 33308-3746
Phone
(549) 281-1778
Fax
(954) 771-1402
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME96966 FL Primary

Addresses

Primary practice location

1900 E Commercial Blvd Ste 201
Fort Lauderdale, FL 33308-3746

Mailing address

9559 Collins Ave Apt 1004
Surfside, FL 33154-2658
Phone (865) 433-6907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000561 FL Practitioner - Gastroenterology 5496899635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

1900 E Commercial Blvd
201 Holy Cross Medical Group
Ft Lauderdale, FL 33308-3737
Phone (954) 928-1778

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy92
Upper gastrointestinal (GI) endoscopy for acid reflux171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME96966FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital Inc Gastroenterology CurrentSince Jan 27, 2022 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
University of Miami Current Accepting new patients
Holy Cross Hospital, Inc CurrentSince Jan 27, 2022 Accepting new patients

Locations

4701 N Federal Hwy
Ste B
Ft Lauderdale, FL 33308
Phone (954) 229-6000

1900 E Commercial Blvd
Ste 201
Ft Lauderdale, FL 33308
Phone (954) 351-5857

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1475 NW 12th Ave
Fl 1
Miami, FL 33136
Phone (305) 243-6605

Interoperability endpoints

  • Direct secure messaging: pfeldman2023598@direct.trinity-health.org
  • Direct secure messaging: pfeldman33180@direct.med.miami.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1033273750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9559 COLLINS AVE APT 1004",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331542658",
            "telephone_number": "865-433-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E COMMERCIAL BLVD STE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083746",
            "telephone_number": "549-281-1778",
            "fax_number": "954-771-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME96966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.