NPIMap

Individual provider Active NPI

Paul A Lowery, D.O.

  • Internal Medicine Physician
  • Stuart, FL
National Provider Identifier
1447272240
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS7450 Issued in FL
Practice address
1912 NW San Souci St
Stuart, FL 34994-9405
Phone
(772) 834-5393
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS7450 FL Primary

Addresses

Primary practice location

1912 NW San Souci St
Stuart, FL 34994-9405

Mailing address

1912 NW San Souci St
Stuart, FL 34994-9405
Phone (772) 834-5393

Other identifiers 1

IdentifierTypeStateIssuer
255035100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000054 FL Practitioner - Internal Medicine 6204963978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1912 NW San Souci St
Stuart, FL 34994-9405

Hospital & facility affiliations

  • Elite Home Health Group Inc Home health agency, Boca Raton, FL, CCN 109710
  • Allegiance Home Health and Rehab, Inc Home health agency, Boca Raton, FL, CCN 108280
  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Anchor Home Health Services, LLC Home health agency, Stuart, FL, CCN 107747
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Treasure Coast Hospice of Martin Hospice, Stuart, FL, CCN 101510
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Waters Edge Health and Rehabilitation Nursing home, Palm City, FL, CCN 105828

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seegott Health LLC CurrentSince Aug 1, 2023 Accepting new patients
Patient Preference Care PL Internal Medicine CurrentSince Mar 10, 2014 Accepting new patients
Sandhill Cove LLC PastSince Jul 9, 2024 Accepting new patients

Locations

1165 SW 27th St
Palm City, FL 34990
Phone (772) 255-6565

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Water'S Edge Health and RehabilitationPalm City, FL, CCN 105828 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 9, 2024
Jul 9, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 11

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1447272240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 NW SAN SOUCI ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949405",
            "telephone_number": "772-834-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 NW SAN SOUCI ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949405",
            "telephone_number": "772-834-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255035100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.