Individual provider Active NPI

David John Paolini, M.D.

  • Vascular Surgery Physician
  • Mesa, AZ
National Provider Identifier
1245229004
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
56897 Issued in AZ
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address westernvascular@412.direct.myezyaccess.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130129000314 OH Practitioner - Vascular Surgery 9335105931 Reassigns benefits to 2 organizations
I20130808000404 MI Practitioner - Vascular Surgery 9335105931 Reassigns benefits to 1 organization

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)28
Removal of tissue1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Mar 31, 2022 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Surgery CurrentSince Mar 31, 2022 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC Surgery CurrentSince May 6, 2024 Accepting new patients
Promedica Central Corporation of Michigan Surgery CurrentSince Apr 6, 2013 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 PastSince Jan 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.