Individual provider Active NPI

Dana M Paull, M.D.

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1114909751
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16029 Issued in AZ
Practice address
7301 E 2ND St
Suite 311
Scottsdale, AZ 85251-5600
Phone
(480) 707-7672
Fax
(480) 707-7673
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16029 AZ Primary

Addresses

Primary practice location

7301 E 2ND St
Suite 311
Scottsdale, AZ 85251-5600

Mailing address

7301 E 2ND St
Suite 311
Scottsdale, AZ 85251-5600
Phone (480) 707-7672

Other identifiers 1

IdentifierTypeStateIssuer
275942-02MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100223000208 AZ Practitioner - Internal Medicine 3375520034 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16029AZMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Aug 28, 2023 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Aug 28, 2023 Accepting new patients
Mahesh Mathews MD PLLC CurrentSince Dec 7, 2022 Accepting new patients
Town Center Medical Group PC Internal Medicine Current Accepting new patients

Locations

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509

10230 W Happy Valley Pkwy
Ste 200
Peoria, AZ 85383
Phone (480) 882-7465

1515 E Bethany Home Rd
Ste 120B
Phoenix, AZ 85014
Phone (480) 324-7231

5316 E Shea Blvd
Ste 100
Scottsdale, AZ 85254
Phone (480) 882-7410

7301 E 2nd St
Ste 300
Scottsdale, AZ 85251
Phone (480) 561-6185

7301 E 2nd St
Ste 311
Scottsdale, AZ 85251
Phone (480) 707-7672

10419 E McDowell Mtn Ranch Rd
Ste A100
Scottsdale, AZ 85255
Phone (480) 882-7530

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12625/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dana.paull.2@12625.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1114909751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST",
            "address_2": "SUITE 311",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515600",
            "telephone_number": "480-707-7672",
            "fax_number": "480-707-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST",
            "address_2": "SUITE 311",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515600",
            "telephone_number": "480-707-7672",
            "fax_number": "480-707-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULL",
        "first_name": "DANA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "16029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275942-02",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.