Michael K Paul, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301406658 Issued in MI

Practice address

1221 Pine Grove Ave
McLaren Port Huron - Emergency Medicine Department
Port Huron, MI 48060-3511

Phone

(810) 989-3300

Fax

(810) 985-2671

NPI assigned

Feb 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Merit-based Incentive Payment System (MIPS)

Final score

98.08 of 100Reported as group

Quality

89.29

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Visiting Nurse Association Health Services

  • Home Health Agency
  • Port Huron, MI
  • NPI 1083601066

  Contracted Managing Employee

  CMS ownership
• Visiting Nurse Association Health Services

  • Community Based Hospice Care Agency
  • Port Huron, MI
  • NPI 1134124613

  Contracted Managing Employee

  CMS ownership

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

• Huron Emergency Medicine Specialists, PLLC

  • Emergency Medicine Physician
  • Port Huron, MI
  • NPI 1528686540
  Medicare reassignment NPD

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1053387035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PINE GROVE AVE",
            "address_2": "MCLAREN PORT HURON - EMERGENCY MEDICINE DEPARTMENT",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603511",
            "telephone_number": "810-989-3300",
            "fax_number": "810-985-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PINE GROVE AVE",
            "address_2": "MCLAREN PORT HURON - EMERGENCY MEDICINE DEPARTMENT",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603511",
            "telephone_number": "810-989-3300",
            "fax_number": "810-985-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301406658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053387035",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anil R Patel, MD
• Hasmukh G Patel, M.D.
• Krupa Patel, D.M.D.
• Patient Centered Eye Care LLC
• Marc R Patyi, SOCIAL WORKER
• Siobhan Paulun, LMSW, CTS
• Karrie J Pawson, LPC
• Payam S Sadry DO PLLC
• Sandra Payne
• Tristane Kathleen Payne, NP

• Emergency Medicine Physician in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.