Active NPI
David John Paolini, M.D.
- Vascular Surgery Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 56897
- Practice address
- 7165 E University Dr Ste 183
Mesa, AZ 85207-6415 - Phone
- (480) 668-5000
- Fax
- (480) 668-5065
- NPI assigned
- Oct 14, 2005
- Last updated
- Jun 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 56897 | AZ | |
| Vascular Surgery Physician | 2086S0129X | 56897 | AZ | Primary |
Addresses
Primary practice location
7165 E University Dr Ste 183
Mesa, AZ 85207-6415
Mailing address
7165 E University Dr Ste 187
Mesa, AZ 85207-6415
Phone (480) 668-5000
Other practice location 1
3600 N 3rd Ave Ste B
Phoenix, AZ 85013-3944
Phone (480) 668-5000
Other practice location 2
708 S Coeur D'Alene Lane
Suite B
Payson, AZ 85541-5662
Phone (480) 668-5000
Other practice location 3
7165 E University Dr Ste 187
Mesa, AZ 85207-6415
Phone (480) 668-5000 ext. 316
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | westernvascular@412.direct.myezyaccess.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Temple University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2222 Cherry St
Suite 1250
Toledo, OH 43608-2687
Phone (419) 251-3180
Hospital & facility affiliations
- Mercy St Vincent Medical Center
- Mercy Health - Tiffin Hospital
- Mercy Health - Defiance Hospital
- Mercy Health St Ritas Medical Center
- Mercy Health - Willard Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 28 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Surgery | Current | Accepting new patients |
| Mercy Health Physicians Lima Specialty Care LLC | Surgery | Current | Accepting new patients |
| Promedica Central Corporation of Michigan | Surgery | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Mercy Health - St Vincent Medical Center LLC | Past | Accepting new patients | |
| Western Vascular Institute PLLC | Vascular Surgery | Past | Accepting new patients |
| Armstrong County Memorial Hospital | Past | Accepting new patients |
Locations
777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411
818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
500 E Pottawatamie St
Tecumseh, MI 49286
Phone (517) 266-0525
830 W High St
Ste 207
Lima, OH 45801
Phone (419) 226-9182
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200
3851 Navarre Ave
Ste 250
Oregon, OH 43616
Phone (419) 251-8019
27 St Lawrence Dr
Ste 201A
Tiffin, OH 44883
Phone (419) 448-3486
2222 Cherry St
Ste 1250
Toledo, OH 43608
Phone (419) 251-3180
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
Interoperability endpoints
- dpaolini89256@direct.bsmhealth.org
Organizations & group practices 9
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.
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
-
- Family Medicine Physician
- Toledo, OH
- NPI 1588624696
Surgery
-
- Vascular Surgery Physician
- Mesa, AZ
- NPI 1760426001
-
dba ACMH Neurology
- Neurology Physician
- Kittanning, PA
- NPI 1922624584
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
dba Mercy Health St Vincent Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health - Defiance Hospital
- General Acute Care Hospital
- Defiance, OH
- NPI 1629011234
-
dba Mercy Health St Vincent Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
dba Harness Health Pharmacy
- General Acute Care Hospital
- Tiffin, OH
- NPI 1316994734
-
dba Mercy Health - Willard Hospital
- Critical Access Hospital
- Willard, OH
- NPI 1790731016
-
dba Inpatient Psych Unit
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
dba Mercy Health-St Rita's Medical Center
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1245229004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7165 E UNIVERSITY DR STE 187",
"city": "MESA",
"state": "AZ",
"postal_code": "852076415",
"telephone_number": "480-668-5000",
"fax_number": "480-428-8593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7165 E UNIVERSITY DR STE 183",
"city": "MESA",
"state": "AZ",
"postal_code": "852076415",
"telephone_number": "480-668-5000",
"fax_number": "480-668-5065"
}
],
"practiceLocations": [
{
"address_1": "3600 N 3rd Ave Ste B",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850133944",
"country_code": "US",
"telephone_number": "480-668-5000",
"fax_number": "480-668-5065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "708 S Coeur D'Alene Lane",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855415662",
"country_code": "US",
"telephone_number": "480-668-5000",
"fax_number": "480-668-5065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7165 E University Dr Ste 187",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852076415",
"country_code": "US",
"telephone_number": "480-668-5000 x316",
"fax_number": "480-428-8593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAOLINI",
"first_name": "DAVID",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2021-06-22",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "56897",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AZ",
"license": "56897",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "westernvascular@412.direct.myezyaccess.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7165 E University Dr Ste 183",
"city": "Mesa",
"state": "AZ",
"country_code": "US",
"postal_code": "852076415",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.