Active NPI
Mitchell H Paulin, MD
- Physical Medicine & Rehabilitation Physician
- Paoli, PA
National Provider Identifier
1306930243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD041363L
- Practice address
- 21 Industrial Blvd Ste 102
Paoli, PA 19301-1610 - Phone
- (610) 640-7434
- Fax
- (610) 640-7436
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD041363L | PA | Primary |
Addresses
Primary practice location
21 Industrial Blvd Ste 102
Paoli, PA 19301-1610
Mailing address
21 Industrial Blvd Ste 102
Paoli, PA 19301-1610
Phone (610) 640-7434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000916701 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
414 Paoli Pike
Malvern, PA 19355-3311
Phone (484) 596-5254
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Associates of the Main Line, P.C. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Medical Associates of the Main Line, PC | Past | Accepting new patients | |
| Rehabilitation Associates of the Main Line | Past | Accepting new patients |
Locations
414 Paoli Pike
Malvern, PA 19355
Phone (484) 596-5254
21 Industrial Blvd
Ste 102
Paoli, PA 19301
Phone (610) 640-3920
Interoperability endpoints
- mitchell.paulin.1@554.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Malvern, PA
- NPI 1538230396
-
- Hospitalist Physician
- Malvern, PA
- NPI 1033276076
-
- Non-Pharmacy Dispensing Site
- Paoli, PA
- NPI 1316479108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1306930243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 INDUSTRIAL BLVD STE 102",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011610",
"telephone_number": "610-640-7434",
"fax_number": "610-640-7436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 INDUSTRIAL BLVD STE 102",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011610",
"telephone_number": "610-640-7434",
"fax_number": "610-640-7436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULIN",
"first_name": "MITCHELL",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD041363L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000916701",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.