Individual provider Active NPI

Paula M Fishbaugh, MD

  • Obstetrics & Gynecology Physician
  • Royal Oak, MI
National Provider Identifier
1073504866
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301070219 Issued in MI
Practice address
326 N Main St
Royal Oak, MI 48067-4121
Phone
(248) 584-7600
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301070219 MI Primary

Addresses

Primary practice location

326 N Main St
Royal Oak, MI 48067-4121

Mailing address

326 N Main St
Royal Oak, MI 48067-4121
Phone (248) 584-7600

Other practice location 1

30701 Woodward Ave
Suite S200
Royal Oak, MI 48073-0987
Phone (248) 584-7600

Other practice location 2

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 712-4120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pfishbaugh9559@direct.beaumont.edu

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110214000419 MI Practitioner - Obstetrics/Gynecology 9133214919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Together Women'S Health Medical Group, P.C.Group PAC ID 2466543640, 74 clinicians

Practice addresses (Care Compare)

326 N Main St
Royal Oak, MI 48067-4121
Phone (248) 584-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Together Women'S Health Medical Group, P.C. Obstetrics & Gynecology CurrentSince Mar 26, 2024 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Jul 1, 2018 Accepting new patients

Locations

390 Park St
Ste 109
Birmingham, MI 48009
Phone (248) 647-5660

29751 Little Mack Ave
Ste B
Roseville, MI 48066

3601 W 13 Mile Rd
Royal Oak, MI 48073

326 N Main St
Royal Oak, MI 48067
Phone (248) 584-7600

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: pfishbaugh1456837@epic00.shdirect.org
  • Direct secure messaging: paula.fishbaugh.1@23349.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Women'S Health of Mississippi, LLCHattiesburg, MS, CCN 253929 Rural health clinic 5% Or Greater Security Interest (20%) Sep 5, 2025
Women'S Health of Mississippi, LLCEllisville, MS, CCN 253878 Rural health clinic 5% Or Greater Security Interest (20%) Sep 5, 2025

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 2

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.

Hospital & facility affiliations 11

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1073504866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674121",
            "telephone_number": "248-584-7600",
            "fax_number": "248-584-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674121",
            "telephone_number": "248-584-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30701 Woodward Ave",
            "address_2": "Suite S200",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480730987",
            "country_code": "US",
            "telephone_number": "248-584-7600",
            "fax_number": "248-584-7606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-712-4120",
            "fax_number": "248-792-5243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHBAUGH",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301070219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfishbaugh9559@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "3601 W 13 Mile Rd",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.