Individual provider Active NPI

Paul D Niolet, M.D.

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Ocean Springs, MS
National Provider Identifier
1285837575
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
19753 Issued in MS
Practice address
1137 Ocean Springs Rd
Ocean Springs, MS 39564-3421
Phone
(228) 875-8291
Fax
(877) 504-3044
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X 19753 MS Primary

Addresses

Primary practice location

1137 Ocean Springs Rd
Ocean Springs, MS 39564-3421

Mailing address

1137 Ocean Springs Rd
Ocean Springs, MS 39564-3421
Phone (228) 875-8291

Other identifiers 1

IdentifierTypeStateIssuer
06529522MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20070905000524 MS Practitioner - Allergy/Immunology 4789664285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Louisiana State University School of Medicine in Shreveport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area ENT, PLLCGroup PAC ID 1153338330, 4 clinicians

Practice addresses (Care Compare)

1137 Ocean Springs Rd
Bay Area
Ocean Springs, MS 39564-3421
Phone (228) 875-8291

Hospital & facility affiliations

  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area ENT, PLLC CurrentSince Aug 1, 2007 Accepting new patients
East Jefferson After Hours, LLC Past Accepting new patients

Locations

1137 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-8291

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 and National Provider Directory roles.

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1285837575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 OCEAN SPRINGS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643421",
            "telephone_number": "228-875-8291",
            "fax_number": "877-504-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 OCEAN SPRINGS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643421",
            "telephone_number": "228-875-8291",
            "fax_number": "877-504-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIOLET",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "MS",
            "license": "19753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06529522",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.