Active NPI
Dustin Jacob Paul, D.O.
- Neurology with Special Qualifications in Child Neurology Physician
- Hershey, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- OS021706
- Practice address
- 500 University Dr
Hershey, PA 17033-2360 - Phone
- (717) 531-0003
- Fax
- (717) 531-0119
- NPI assigned
- Apr 10, 2013
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS021706 | PA | |
| Pediatrics Physician | 208000000X | Q5064 | TX | |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | OS021706 | PA | |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | Q5064 | TX | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | Q5064 | TX | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | OS021706 | PA | Primary |
Addresses
Primary practice location
500 University Dr
Hershey, PA 17033-2360
Mailing address
500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-5338
Other practice location 1
2221 Noll Dr Ste E100
Lancaster, PA 17603-7614
Phone (717) 344-5706
Other practice location 2
1430 Harrisburg Pike
Lancaster, PA 17601-2615
Phone (717) 344-5706
Other practice location 3
30 Hope Dr Ste 1300
Hershey, PA 17033-2036
Phone (717) 531-3828
Other practice location 4
35 Hope Dr Ste 104
Hershey, PA 17033-2008
Phone (717) 531-8550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3978711701 | Medicaid | TX | |
| H08LF29301 | Other | TX | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dpaul2@direct.psu.edu |
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
- Pediatric Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-8202
Hospital & facility affiliations
- Milton S Hershey Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 56.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q5064 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| University of Texas Rio Grande Valley | Past | Accepting new patients | |
| The Milton S. Hershey Medical Center Physicians Group | Past | Accepting new patients |
Locations
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
35 Hope Dr
Ste 102104
Hershey, PA 17033
Phone (717) 531-5160
35 Hope Dr
Ste 104
Hershey, PA 17033
Phone (717) 531-5160
500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159
30 Hope Dr
Ste 1300
Hershey, PA 17033
Phone (717) 531-3828
2221 Noll Dr
Ste E100
Lancaster, PA 17603
Phone (717) 344-5706
1430 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 327-4680
Interoperability endpoints
- dpaul2@direct.psu.edu
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Neurology Physician
- Hershey, PA
- NPI 1629043203
Neurology With Special Qualifications in Child Neurology
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Hershey, PA
- NPI 1255482089
-
- Physiological Laboratory
- Harlingen, TX
- NPI 1689330649
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1316380249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "717-531-5338",
"fax_number": "717-531-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "717-531-0003",
"fax_number": "717-531-0119"
}
],
"practiceLocations": [
{
"address_1": "2221 Noll Dr Ste E100",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176037614",
"country_code": "US",
"telephone_number": "717-344-5706",
"fax_number": "717-531-0009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1430 Harrisburg Pike",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176012615",
"country_code": "US",
"telephone_number": "717-344-5706",
"fax_number": "717-531-0009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 Hope Dr Ste 1300",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332036",
"country_code": "US",
"telephone_number": "717-531-3828",
"fax_number": "717-531-4694",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Hope Dr Ste 104",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332008",
"country_code": "US",
"telephone_number": "717-531-8550",
"fax_number": "717-531-0086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAUL",
"first_name": "DUSTIN",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-10",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS021706",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q5064",
"primary": false
},
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "PA",
"license": "OS021706",
"primary": false
},
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "TX",
"license": "Q5064",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "TX",
"license": "Q5064",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "PA",
"license": "OS021706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3978711701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "H08LF29301",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dpaul2@direct.psu.edu",
"affiliation": "N",
"endpointDescription": "direct email",
"address_1": "500 University Dr",
"city": "Hershey",
"state": "PA",
"country_code": "US",
"postal_code": "170332360",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.