Individual provider Active NPI

Paul Anthony Vieta Jr., M.D.

  • Vascular Surgery Physician
  • Pinehurst, NC
National Provider Identifier
1154529626
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
201400133 Issued in NC
Practice address
5 First Village Dr
Pinehurst, NC 28374
Phone
(910) 215-2536
Fax
(910) 215-2539
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 201400133 NC Primary

Addresses

Primary practice location

5 First Village Dr
Pinehurst, NC 28374

Mailing address

5 First Village Drive
PO Box 2000
Pinehurst, NC 28374-9495
Phone (910) 295-6831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140505001275 NC Practitioner - Vascular Surgery 8527237957 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
Pinehurst Surgical Clinic PAGroup PAC ID 4587561394, 92 clinicians
MCPC-9 LLCGroup PAC ID 1658526710, 57 clinicians

Practice addresses (Care Compare)

410 -D S Jones St
Pembroke, NC 28372-7261
Phone (910) 504-8540

5 1St Village Dr
Pinehurst, NC 28374-9495
Phone (910) 295-6831

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (843) 479-9033

809 S Long Dr
Rockingham, NC 28379-4377
Phone (910) 417-4096

Hospital & facility affiliations

  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115
  • Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal142
Leg revascularization (restoring blood flow)17
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201400133NCMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-9, LLC CurrentSince May 1, 2017 Accepting new patients
Pinehurst Surgical Clinic PA Vascular Surgery CurrentSince Apr 2, 2014 Accepting new patients
Scotland Memorial Hospital Inc Vascular Surgery CurrentSince Dec 18, 2014 Accepting new patients
MCPC-10, LLC CurrentSince Apr 1, 2014 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Dec 18, 2014 Accepting new patients
Gulf Coast Cardiothoracic Surgeons Past Accepting new patients
Harris Family Practice PLLC Past Accepting new patients

Locations

3716 Morganton Rd
Ste 1
Fayetteville, NC 28303
Phone (910) 715-8700

1600 Medical Dr
Laurinburg, NC 28352
Phone (910) 277-9164

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

5 First Village Dr
Pinehurst, NC 28374
Phone (910) 235-2713

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

4565 Fayetteville Rd
Ste B
Raeford, NC 28376
Phone (910) 878-5150

809 S Long Dr
Ste K
Rockingham, NC 28379
Phone (910) 417-4090

300 Pavilion Way
Southern Pines, NC 28387
Phone (910) 295-0243

Interoperability endpoints

  • Direct secure messaging: paulvieta@fhss.allscriptsdirect.net

Organizations & group practices 7

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 5

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1154529626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FIRST VILLAGE DRIVE",
            "address_2": "PO BOX 2000",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749495",
            "telephone_number": "910-295-6831",
            "fax_number": "910-215-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FIRST VILLAGE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-215-2536",
            "fax_number": "910-215-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIETA",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": "201400133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.