Individual provider Active NPI

Paul L. Urban, MD

  • Interventional Cardiology Physician
  • Ocala, FL
National Provider Identifier
1508961756
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME42058 Issued in FL
Practice address
6555 SW Highway 200
Ocala, FL 34476-5575
Phone
(352) 622-4251
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME42058 FL Primary

Addresses

Primary practice location

6555 SW Highway 200
Ocala, FL 34476-5575

Mailing address

2111 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251

Other practice location 1

2111 SW 20th Pl
Ocala, FL 34471-7734
Phone (352) 622-4251

Other identifiers 4

IdentifierTypeStateIssuer
P00883805OtherFLMEDICARE RR
004876300MedicaidFL
P00459990OtherFLRR MEDICARE
47547OtherFLBLUE CROSS BLUE SHIELD

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
I20080111000273 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375630320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of Central Florida LLCGroup PAC ID 2769587146, 67 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

121 Lagrande Blvd
Lady Lake, FL 32159-1342
Phone (352) 547-3373

2105 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251

2111 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251

5036 SE 110TH St
Suite 103
Belleview, FL 34420-3759
Phone (352) 693-3378

6555 SW State Rd
Suite 200
Ocala, FL 34476-5575
Phone (352) 622-4251

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Ocala, FL, CCN 107512
  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212
  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Institute of Central Florida, LLC Interventional Cardiology CurrentSince Apr 1, 2015 Accepting new patients
Cardiovascular Institute of Central Florida, LLC CurrentSince Apr 1, 2015 Accepting new patients
Paul Urban MD PA Interventional Cardiology Past Accepting new patients
Ocala Health Primary Care LLC Past Accepting new patients

Locations

2111 SW 20th Pl
Ocala, FL 34471
Phone (352) 547-3399

4600 SW 46th Ct
Ste 250
Ocala, FL 34474
Phone (352) 291-2400

1800 SE 17th St
Ste 700
Ocala, FL 34471
Phone (352) 789-6008

3310 SW 34th St
Ocala, FL 34474
Phone (352) 237-4004

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: paul.urban.1@29679.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1508961756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 SW 20TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717734",
            "telephone_number": "352-622-4251",
            "fax_number": "352-622-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 SW HIGHWAY 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344765575",
            "telephone_number": "352-622-4251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 SW 20th Pl",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717734",
            "country_code": "US",
            "telephone_number": "352-622-4251",
            "fax_number": "352-622-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBAN",
        "first_name": "PAUL",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME42058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00883805",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004876300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00459990",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "47547",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.