Individual provider Active NPI

Paula L Cahill, M.D.

  • Dermatology Physician
  • Traverse City, MI
National Provider Identifier
1285743393
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301063462 Issued in MI
Practice address
550 Munson Ave, Suite 200
Traverse City, MI 49686
Phone
(231) 935-8717
Fax
(231) 935-9230
NPI assigned
Aug 30, 2006
Last updated
Sep 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301063462 MI Primary

Addresses

Primary practice location

550 Munson Ave, Suite 200
Traverse City, MI 49686

Mailing address

550 Munson Ave, Suite 200
Traverse City, MI 49686
Phone (231) 935-8717

Other identifiers 5

IdentifierTypeStateIssuer
0702803192OtherMIBLUE CROSS BLUE SHIELD
070010119OtherMIRAILROAD MEDICARE
3347473MedicaidMI
38-2170687OtherMIPRIORITY HEALTH
M008816OtherMITRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 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
I20051006000184 MI Practitioner - Dermatology 9739118613 Reassigns benefits to 1 organization
I20210922002576 FL Practitioner - Dermatology 9739118613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

954 Business Park Dr
Suite 5
Traverse City, MI 49686-8763
Phone (231) 252-3200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions762
Removal or shaving of skin growth27
Skin biopsy184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063462MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insignia Counseling Service LLC CurrentSince Apr 1, 2021 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Nov 1, 2021 Accepting new patients
Coastal Dermatology PLC Dermatology CurrentSince Mar 9, 2021 Accepting new patients
Northwestern Michigan Dermatology CurrentSince Oct 10, 2005 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Nov 1, 2021 Accepting new patients

Locations

1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

1617 Tamiami Trl
Port Charlotte, FL 33948
Phone (941) 613-2400

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

550 Munson Ave
Ste 200
Traverse City, MI 49686
Phone (231) 935-8717

954 Business Park Dr
Ste 5
Traverse City, MI 49686
Phone (231) 252-3200

Interoperability endpoints

  • Direct secure messaging: pcahill@coastderm.emadirect.md

Organizations & group practices 5

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 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1285743393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MUNSON AVE, SUITE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-935-8717",
            "fax_number": "231-935-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MUNSON AVE, SUITE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-935-8717",
            "fax_number": "231-935-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "PAULA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301063462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0702803192",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070010119",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3347473",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "38-2170687",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "M008816",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.