Individual provider Active NPI

Pamela Sauls, M.D.

  • Family Medicine Physician
  • Perry, FL
National Provider Identifier
1184041741
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME136957 Issued in FL
Practice address
315 E Ash St
Perry, FL 32347
Phone
(850) 548-3278
Fax
(850) 584-8171
NPI assigned
Mar 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN615 FL
General Practice Physician 208D00000X 018677 PR
Family Medicine Physician 207Q00000X ME136957 FL Primary

Addresses

Primary practice location

315 E Ash St
Perry, FL 32347

Mailing address

390 S Central Ave
Umatilla, FL 32784-9602
Phone (352) 669-3175

Other identifiers 2

IdentifierTypeStateIssuer
015385800MedicaidFL
151RZOtherFLFLORIDA BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151105001885 FL Practitioner - Family PracticePractitioner - General Practice 5294044483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Kashyap Patel MD PAGroup PAC ID 9830152974, 7 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

322 Big Tree Rd
South Daytona, FL 32119-2922
Phone (386) 310-8745

Hospital & facility affiliations

  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018677PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kashyap Patel MD PA Family Medicine CurrentSince Feb 19, 2020 Accepting new patients
Volusia & Flagler OB-GYN PA Past Accepting new patients

Locations

312 W New York Ave
Deland, FL 32720
Phone (386) 775-2921

598 Sterthaus Dr
#C
Ormond Beach, FL 32174
Phone (386) 672-9683

325 Clyde Morris Blvd
Ste 340
Ormond Beach, FL 32174
Phone (386) 212-3273

322 Big Tree Rd
South Daytona, FL 32119
Phone (386) 310-8745

Interoperability endpoints

  • Direct secure messaging: pamela.sauls@kpmp-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 1

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": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1184041741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S CENTRAL AVE",
            "city": "UMATILLA",
            "state": "FL",
            "postal_code": "327849602",
            "telephone_number": "352-669-3175",
            "fax_number": "352-669-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E ASH ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "32347",
            "telephone_number": "850-548-3278",
            "fax_number": "850-584-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAULS",
        "first_name": "PAMELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN615",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "018677",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME136957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015385800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "151RZ",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

Verify at the official NPI Registry.