Individual provider Active NPI

Mary Linda Paul, M.D.

  • Internal Medicine Physician
  • Kalaheo, HI
National Provider Identifier
1285639971
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-11685 Issued in HI
Practice address
4489 Papalina Road
Kalaheo, HI 96741
Phone
(808) 332-8523
Fax
(808) 332-7050
NPI assigned
Jun 17, 2005
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X 990358977 HI
Internal Medicine Physician 207R00000X MD-11685 HI Primary

Addresses

Primary practice location

4489 Papalina Road
Kalaheo, HI 96741

Mailing address

PO Box 669
Atten: Rhonelle Aceret
Waimea, HI 96796-0669
Phone (808) 240-2723

Other identifiers 1

IdentifierTypeStateIssuer
50008403MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20050713000118 HI Practitioner - Internal Medicine 5698666832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2829 Ala Kalani Kaumaka St
Suite B 201
Koloa, HI 96756-7549
Phone (808) 742-0999

4489 Papalina Rd
Kalaheo, HI 96741-2001
Phone (808) 332-8523

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.96 of 100Reported as group
Quality
47.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-11685HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Veterans Memorial Hospital Current Accepting new patients
Kauai Veterans Memorial Hospital CurrentSince Sep 5, 2001 Accepting new patients
Mary Linda Paul M.D., Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Geropsychology Associates, LLC Past Accepting new patients

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

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1285639971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "address_2": "ATTEN: RHONELLE ACERET",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "967960669",
            "telephone_number": "808-240-2723",
            "fax_number": "808-338-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4489 PAPALINA ROAD",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "96741",
            "telephone_number": "808-332-8523",
            "fax_number": "808-332-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "MARY",
        "middle_name": "LINDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "HI",
            "license": "990358977",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-11685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50008403",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalaheo, HI

Sources for this page

Verify at the official NPI Registry.