Active NPI
Paula L Cahill, M.D.
- Dermatology Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 4301063462
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0702803192 | Other | MI | BLUE CROSS BLUE SHIELD |
| 070010119 | Other | MI | RAILROAD MEDICARE |
| 3347473 | Medicaid | MI | |
| 38-2170687 | Other | MI | PRIORITY HEALTH |
| M008816 | Other | MI | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 762 |
| Removal or shaving of skin growth | 27 |
| Skin biopsy | 184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301063462 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insignia Counseling Service LLC | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Dermatology | Current | Accepting new patients |
| Coastal Dermatology PLC | Dermatology | Current | Accepting new patients |
| Northwestern Michigan Dermatology | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Traverse City, MI
- NPI 1275127722
-
dba Advanced Dermatology and Cosmetic Surq
- Dermatology Physician
- Sebastian, FL
- NPI 1083872535
-
- Clinical Social Worker
- Traverse City, MI
- NPI 1073099784
-
- MOHS-Micrographic Surgery Physician
- Traverse City, MI
- NPI 1346457488
-
dba Advanced Dermatology And Cosmetic Surgery
- Dermatology Physician
- Heathrow, FL
- NPI 1528097284
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.