Individual provider Active NPI

Russell K Paul, MD

  • Vascular & Interventional Radiology Physician
  • Bakersfield, CA
National Provider Identifier
1245208727
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
G88519 Issued in CA
Practice address
9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone
(608) 276-5882
Fax
(800) 509-9882
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X G88519 CA Primary

Addresses

Primary practice location

9602 Stockdale Hwy
Bakersfield, CA 93311-3618

Mailing address

9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone (608) 276-5882

Other identifiers 1

IdentifierTypeStateIssuer
34489000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091007000693 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6002891280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Howard University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Joaquin Community HospitalGroup PAC ID 1557390580, 72 clinicians

Practice addresses (Care Compare)

2615 Chester Ave
Bakersfield, CA 93301-2014

9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone (661) 395-3000

Hospital & facility affiliations

  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Adventist Health Delano Hospital, Delano, CA, CCN 050608
  • Adventist Health Tehachapi Valley Hospital, Tehachapi, CA, CCN 051301

Merit-based Incentive Payment System (MIPS)

Final score
81.35 of 100Reported as group
Quality
53.28
Promoting interoperability
98
Improvement activities
40
Cost
63.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88519CAMDPharmacist
G88519CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Medical Center Tehachapi CurrentSince Feb 27, 2019 Accepting new patients
Adventist Health Medical Center Tehachapi Current Accepting new patients
San Joaquin Community Hospital CurrentSince Mar 27, 2011 Accepting new patients
San Joaquin Community Hospital CurrentSince Mar 27, 2011 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Feb 27, 2019 Accepting new patients
Adventist Health Physicians Network Past Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

Organizations & group practices 6

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 3

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1245208727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9602 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113618",
            "telephone_number": "608-276-5882",
            "fax_number": "800-509-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9602 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113618",
            "telephone_number": "608-276-5882",
            "fax_number": "800-509-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "RUSSELL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G88519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34489000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.