Individual provider Active NPI

Dustin Jacob Paul, D.O.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Hershey, PA
National Provider Identifier
1316380249
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
OS021706 Issued in PA
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

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3978711701MedicaidTX
H08LF29301OtherTXBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220203002077 PA Practitioner - Pediatric MedicinePractitioner - Neurology 3375886724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Milton S Hershey Medical Center Physicians GroupGroup PAC ID 3870405483, 1,606 clinicians

Practice addresses (Care Compare)

500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-8202

Hospital & facility affiliations

  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
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

LicenseStateTypeSpecialty
Q5064TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Mar 1, 2022 Accepting new patients
The Milton S Hershey Medical Center Physician Group Neurology With Special Qualifications in Child Neurology CurrentSince Mar 1, 2022 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.