Individual provider Active NPI

Paola J. Maurtua-Neumann, M.D.

  • Pediatric Infectious Diseases Physician
  • Jacksonville, FL
National Provider Identifier
1073757092
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
139110 Issued in FL
Practice address
910 N Jefferson St
Jacksonville, FL 32209-6810
Phone
(904) 244-2120
Fax
(904) 244-2896
NPI assigned
Apr 21, 2009
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X 31795 AL
Pediatric Infectious Diseases Physician 2080P0208X 31795 AL
Pediatric Infectious Diseases Physician 2080P0208X 139110 FL Primary

Addresses

Primary practice location

910 N Jefferson St
Jacksonville, FL 32209-6810

Mailing address

PO Box 44008
Jacksonville, FL 32231-4008

Other practice location 1

1601 Center St
Ste 1N
Mobile, AL 36604-1512
Phone (251) 410-5437

Other practice location 2

655 W 8th St Fl 3
Jacksonville, FL 32209-6511
Phone (904) 244-2120

Other practice location 3

800 Prudential Dr
Jacksonville, FL 32207-8211
Phone (904) 244-2120

Other identifiers 2

IdentifierTypeStateIssuer
1926477MedicaidLA
1021384-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121001000268 AL Practitioner - Pediatric Medicine 7719136076 Reassigns benefits to 1 organization
I20190314001642 FL Practitioner - Infectious DiseasePractitioner - Pediatric Medicine 7719136076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Pediatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31795ALMDPediatrics Physician
139110FLMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jun 17, 2023 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Pediatrics CurrentSince Jul 27, 2022 Accepting new patients
University of South Alabama CurrentSince Jul 1, 2016 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jun 17, 2023 Accepting new patients
University of South Alabama Pediatrics CurrentSince Jul 1, 2016 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 27, 2022 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
University of South Alabama Current Accepting new patients

Locations

1601 Center St
Ste 1N
Mobile, AL 36604
Phone (251) 410-5437

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

655 W 8th St
Fl 3
Jacksonville, FL 32209
Phone (904) 244-2120

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

910 N Jefferson St
Jacksonville, FL 32209
Phone (904) 360-7022

Interoperability endpoints

  • Direct secure messaging: pmaurtuaneumann630372@direct.shands.ufl.edu

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1073757092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N JEFFERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096810",
            "telephone_number": "904-244-2120",
            "fax_number": "904-244-2896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Center St",
            "address_2": "Ste 1N",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366041512",
            "country_code": "US",
            "telephone_number": "251-410-5437",
            "fax_number": "251-434-3802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 W 8th St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096511",
            "country_code": "US",
            "telephone_number": "904-244-2120",
            "fax_number": "904-244-2896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Prudential Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078211",
            "country_code": "US",
            "telephone_number": "904-244-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURTUA-NEUMANN",
        "first_name": "PAOLA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "31795",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "AL",
            "license": "31795",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "FL",
            "license": "139110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1926477",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021384-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.