Individual provider Active NPI

Paul D Maitino, D.O.

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1376507665
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
3588 Issued in OK
Practice address
3110 SW 89TH St
Ste 200 D
Oklahoma City, OK 73159-7920
Phone
(405) 735-6270
Fax
(405) 680-4160
NPI assigned
Apr 13, 2006
Last updated
Jan 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 3588 OK Primary

Addresses

Primary practice location

3110 SW 89TH St
Ste 200 D
Oklahoma City, OK 73159-7920

Mailing address

PO Box 108809
Oklahoma City, OK 73101-8809
Phone (405) 419-8444

Other identifiers 2

IdentifierTypeStateIssuer
200038126OtherOKMEDICARE RAILROAD
100001220AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20050504000515 OK Practitioner - Orthopedic Surgery 7113966854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of New England, College of Osteo Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hpi Physicians LLCGroup PAC ID 6406048289, 48 clinicians

Practice addresses (Care Compare)

1705 S Renaissance Blvd
Suite 120
Edmond, OK 73013-3043
Phone (405) 715-4496

3110 SW 89TH St
Oklahoma City, OK 73159-7919
Phone (405) 680-5633

8516 S Portland Ave
Suite 201
Oklahoma City, OK 73159-2233
Phone (405) 680-5633

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hpi Physicians LLC Orthopaedic Surgery CurrentSince Mar 1, 2026 Accepting new patients
Joint Reconstructive Specialist Orthopaedic Surgery CurrentSince Jan 24, 2005 Accepting new patients
Oklahoma Pain Care LLC Orthopaedic Surgery CurrentSince Jan 30, 2016 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Community Hospital LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Southwest Orthopaedic Specialists, P.L.L.C. Orthopaedic Surgery Past Accepting new patients

Locations

3100 SW 89th St
Ste 200
Oklahoma City, OK 73159

3110 SW 89th St
Ste 200D
Oklahoma City, OK 73159
Phone (405) 631-8888

3110 SW 89th St
Ste 200D1
Oklahoma City, OK 73159
Phone (405) 680-5633

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1376507665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108809",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731018809",
            "telephone_number": "405-419-8444",
            "fax_number": "405-419-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 SW 89TH ST",
            "address_2": "STE 200 D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597920",
            "telephone_number": "405-735-6270",
            "fax_number": "405-680-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAITINO",
        "first_name": "PAUL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "3588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "200038126",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001220A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.