Individual provider Active NPI

Paul T Wielebinski, M.D.

  • Internal Medicine Physician
  • Winter Haven, FL
National Provider Identifier
1285689620
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME132006 Issued in FL
Practice address
550 Pope Ave NW Ste 200
Winter Haven, FL 33881-4679
Phone
(863) 299-2630
Fax
(863) 969-0711
NPI assigned
May 24, 2006
Last updated
May 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D33719 MD
Internal Medicine Physician 207R00000X 75982 MN
Internal Medicine Physician 207R00000X ME132006 FL Primary

Addresses

Primary practice location

550 Pope Ave NW Ste 200
Winter Haven, FL 33881-4679

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 332-6947

Other practice location 1

3617 W Hillsborough Ave
Tampa, FL 33614-5713
Phone (813) 875-2020

Other practice location 2

8450 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5300

Other practice location 3

550 Pope Ave NW Ste 300
Winter Haven, FL 33881-4679
Phone (863) 299-2636

Other practice location 4

3240 S Florida Ave Ste 101
Lakeland, FL 33803-4574
Phone (863) 644-7337

Other identifiers 1

IdentifierTypeStateIssuer
806747800MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 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
I20180709003044 FL Practitioner - Internal Medicine 6709878713 Reassigns benefits to 5 organizations
I20231207000798 AZ Practitioner - Internal Medicine 6709878713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David a Butler DO LLCGroup PAC ID 5092981118, 15 clinicians
Innovacare Florida Urgent Care, LLCGroup PAC ID 1557802840, 20 clinicians

Practice addresses (Care Compare)

2400 Harbor Blvd
Port Charlotte, FL 33952-5038
Phone (941) 273-3611

550 Pope Ave NW
Suite 200
Winter Haven, FL 33881-4679
Phone (863) 299-2630

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME132006FLMDInternal Medicine Physician
D33719MDMDInternal Medicine Physician
75982MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Centers of Brevard County LLC CurrentSince Mar 18, 2020 Accepting new patients
Yuma Regional Medical Center CurrentSince Oct 23, 2023 Accepting new patients
Trinity Medical Physicians, LLC Internal Medicine CurrentSince May 21, 2025 Accepting new patients
Urgent Care Centers of Brevard County LLC Current Accepting new patients
Aegis Medical Group LLC Internal Medicine CurrentSince Jan 27, 2025 Accepting new patients
David a Butler DO LLC CurrentSince Feb 9, 2026 Accepting new patients
Urgent Care Centers of Brevard County LLC CurrentSince Mar 18, 2020 Accepting new patients
Innovacare Florida Urgent Care, LLC CurrentSince May 19, 2025 Accepting new patients
West Valley Medical Group Specialty Services LLC Past Accepting new patients
Adventist Physician Services, Inc. Past Accepting new patients
Medical Faculty Associates, Inc Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
West Valley Medical Group LLC Internal Medicine PastSince Oct 1, 2006 Accepting new patients
West Valley Emergency Physicians, PA Past Accepting new patients

Locations

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

3800 W 24th St
Yuma, AZ 85364
Phone (928) 336-1953

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

3240 S Florida Ave
Ste 100
Lakeland, FL 33803
Phone (863) 646-4000

3240 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 644-7337

3240 S Florida Ave
Ste 105
Lakeland, FL 33803
Phone (863) 644-7337

410 Fern Dr
Leesburg, FL 34748
Phone (352) 218-8200

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

2400 Harbor Blvd
Ste 4
Pt Charlotte, FL 33952
Phone (941) 276-3611

1733 David Walker Dr
Tavares, FL 32778
Phone (352) 508-1830

1037 S State Road 7
Ste 113
Wellington, FL 33414

550 Pope Ave NW
Ste 200
Winter Haven, FL 33881
Phone (863) 271-9867

550 Pope Ave NW
Ste 300
Winter Haven, FL 33881
Phone (863) 299-2636

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBDHAD

Organizations & group practices 14

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.

View all 14

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1285689620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "689-304-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE NW STE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814679",
            "telephone_number": "863-299-2630",
            "fax_number": "863-969-0711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3617 W Hillsborough Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336145713",
            "country_code": "US",
            "telephone_number": "813-875-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8450 Seasons Pkwy",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551254402",
            "country_code": "US",
            "telephone_number": "651-702-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Pope Ave NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814679",
            "country_code": "US",
            "telephone_number": "863-299-2636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3240 S Florida Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338034574",
            "country_code": "US",
            "telephone_number": "863-644-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIELEBINSKI",
        "first_name": "PAUL",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D33719",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "75982",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME132006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806747800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.