Individual provider Active NPI

Paola Nicole Comas, MD

  • Obstetrics & Gynecology Physician
  • Lutz, FL
National Provider Identifier
1245717784
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME168938 Issued in FL
Practice address
3815 Atmore Grove Dr
Lutz, FL 33548-7990
Phone
(813) 428-7030
Fax
(813) 428-7040
NPI assigned
Jul 27, 2018
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME168938 FL Primary

Addresses

Primary practice location

3815 Atmore Grove Dr
Lutz, FL 33548-7990

Mailing address

5380 Primrose Lake Cir
Tampa, FL 33647-3589
Phone (813) 769-2778

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
I20240719001670 FL Practitioner - Obstetrics/Gynecology 9133663503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ponce School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Womans Group Obstetrics & Gynecology CurrentSince Jun 23, 2024 Accepting new patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Aug 1, 2024 Accepting new patients

Locations

3815 Atmore Grove Dr
Lutz, FL 33548
Phone (813) 428-7030

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

5380 Primrose Lake Cir
Tampa, FL 33647
Phone (813) 769-2778

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1245717784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 PRIMROSE LAKE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473589",
            "telephone_number": "813-769-2778",
            "fax_number": "813-769-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 ATMORE GROVE DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335487990",
            "telephone_number": "813-428-7030",
            "fax_number": "813-428-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMAS",
        "first_name": "PAOLA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME168938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.