Individual provider Active NPI

Paul V Pomilla, MD

  • Internal Medicine Physician
  • Prince Frederick, MD
National Provider Identifier
1467501114
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D46314 Issued in MD
Practice address
985 Prince Frederick Blvd Ste 201
Prince Frederick, MD 20678-3492
Phone
(410) 535-2005
Fax
(410) 535-4850
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D46314 MD
Internal Medicine Physician 207R00000X D46314 MD Primary

Addresses

Primary practice location

985 Prince Frederick Blvd Ste 201
Prince Frederick, MD 20678-3492

Mailing address

985 Prince Frederick Blvd Ste 201
Prince Frederick, MD 20678-3492
Phone (410) 535-2005

Other identifiers 10

IdentifierTypeStateIssuer
C0410014OtherDCCAREFIRST OF DC
4461101OtherMDAETNA NON-HMO PCP
2148224OtherMDAETNA HMO PCP
836797OtherMDMAMSI HMO PCP
144121300MedicaidMD
110101476OtherMDRAILROAD MEDICARE
53132901OtherMDCAREFIRST OF MARYLAND
2154481OtherMDAETNA HMO SPECIALIST
436797OtherMDMAMSI HMO SPECIALIST
7720001OtherMDAETNA NON-HMO SPECIALIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100608000051 MD Practitioner - Infectious DiseasePractitioner - Internal Medicine 6406866748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calvert Internal Medicine Group, PAGroup PAC ID 1759371834, 40 clinicians

Practice addresses (Care Compare)

10845 Town Ctr Blvd
Suite 204
Dunkirk, MD 20754-2712
Phone (410) 535-2005

110 Hospital Rd
Suite 303
Prince Frederick, MD 20678-4044
Phone (410) 535-2005

14090 HG Trueman Rd
Suite 2500
Solomons, MD 20688-3151
Phone (410) 535-2005

985 Prince Frederick Blvd
Suite 201
Prince Frederick, MD 20678-3492
Phone (410) 535-2005

Hospital & facility affiliations

  • Chesapeake - Potomac Home Health Agency, Inc. Home health agency, Hughesville, MD, CCN 217138
  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
  • Homecall Home health agency, Easton, MD, CCN 217066
  • Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039
  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D46314MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Glenn G. Marinelli MD PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: paul.pomillamd.p2@direct.msmg.nextgenshare.com
  • Direct secure messaging: ppomilla@calvertinternalmedicine.medentdirect.com

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 5

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467501114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD STE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783492",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD STE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783492",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMILLA",
        "first_name": "PAUL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D46314",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D46314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF DC",
            "identifier": "C0410014",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO PCP",
            "identifier": "4461101",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PCP",
            "identifier": "2148224",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI HMO PCP",
            "identifier": "836797",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144121300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110101476",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MARYLAND",
            "identifier": "53132901",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO SPECIALIST",
            "identifier": "2154481",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI HMO SPECIALIST",
            "identifier": "436797",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO SPECIALIST",
            "identifier": "7720001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.