Individual provider Active NPI

Rajee Paul, M.D.

  • Family Medicine Physician
  • Merritt Island, FL
National Provider Identifier
1336133156
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME95111 Issued in FL
Practice address
1045 N Courtenay Pkwy
Merritt Island, FL 32953-4531
Phone
(321) 453-3937
Fax
(321) 452-5404
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME95111 FL Primary

Addresses

Primary practice location

1045 N Courtenay Pkwy
Merritt Island, FL 32953-4531

Mailing address

1045 N Courtenay Pkwy
Merritt Island, FL 32953-4531
Phone (321) 453-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070924000205 FL Practitioner - Family Practice 8123112034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Brevard Medical Support IncGroup PAC ID 7618870296, 62 clinicians

Practice addresses (Care Compare)

390 Challenger Rd
Cape Canaveral, FL 32920-4200
Phone (321) 268-6834

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME95111FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aggarwal Medical Associates PA Current Accepting new patients
North Brevard Medical Support, Inc CurrentSince Mar 1, 2022 Accepting new patients
Ambulatory Surgical Care, LLC Current Accepting new patients
Primary Care Specialists of North Florida LLC Past Accepting new patients
Merritt Island Walk in Clinic LLC Past Accepting new patients

Locations

1045 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 452-4448

390 Challenger Rd
Port Canaveral, FL 32920
Phone (321) 633-8640

836 Century Medical Dr
Titusville, FL 32796
Phone (321) 383-8092

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

951 N Washington Ave
Ste 100
Titusville, FL 32796
Phone (321) 268-6836

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1336133156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534531",
            "telephone_number": "321-453-3937",
            "fax_number": "321-452-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534531",
            "telephone_number": "321-453-3937",
            "fax_number": "321-452-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "RAJEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME95111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.