Active NPI
Paul C Motta, DO
- Specialist
- Dothan, AL
National Provider Identifier
1073575924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- DO-381
- Practice address
- 4300 W Main St Ste 403
Dothan, AL 36305-1314 - Phone
- (334) 671-2855
- Fax
- (334) 793-1561
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | DO-381 | NY | Primary |
Addresses
Primary practice location
4300 W Main St Ste 403
Dothan, AL 36305-1314
Mailing address
4300 W Main St Ste 403
Dothan, AL 36305-1314
Phone (334) 671-2855
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030004735 | Other | AL | RAILROAD MEDICARE |
| 000008838 | Medicaid | AL | |
| 051008838 | Other | AL | BCBS AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 W Main St
Suite 403
Dothan, AL 36305-1314
Phone (334) 793-4788
Hospital & facility affiliations
- Wiregrass Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-381 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Care PC | Specialist | Current | Accepting new patients |
Locations
4300 W Main St
Ste 403
Dothan, AL 36305
Phone (334) 793-4788
Networks
- bcbs alabama network 01A0
- bcbs alabama network 01G0
- bcbs alabama network 01B0
- bcbs alabama network 01E0
- bcbs alabama network 01H0
Organizations & group practices 1
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.
-
- Specialist
- Dothan, AL
- NPI 1134181456
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Geneva, AL
- NPI 1134955370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1073575924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 W MAIN ST STE 403",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051314",
"telephone_number": "334-671-2855",
"fax_number": "334-793-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W MAIN ST STE 403",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051314",
"telephone_number": "334-671-2855",
"fax_number": "334-793-1561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTTA",
"first_name": "PAUL",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "DO-381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "030004735",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000008838",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AL",
"identifier": "051008838",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.