Individual provider Active NPI

Carlos Manuel Paisan, MD

  • Emergency Medicine Physician
  • Naples, FL
National Provider Identifier
1609893411
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME51860 Issued in FL
Practice address
350 7TH St N
Naples, FL 34102-5754
Phone
(239) 436-5000
NPI assigned
Jul 16, 2006
Last updated
Jul 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME51860 FL Primary

Addresses

Primary practice location

350 7TH St N
Naples, FL 34102-5754

Mailing address

PO Box 160448
Miami, FL 33116-0448

Other identifiers 2

IdentifierTypeStateIssuer
371794100MedicaidFL
08699OtherFLBLUE CROSS OF FLORIDA

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
I20050419000934 FL Practitioner - Family Practice 0244278463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ER Quickcare PLGroup PAC ID 2466525977, 9 clinicians
Hispanic Health Enterprises LLCGroup PAC ID 5395962195, 6 clinicians

Practice addresses (Care Compare)

13030 Livingston Rd
Naples, FL 34105-5024
Phone (239) 403-3772

4990 Golden Gate Pkwy
Naples, FL 34116-6962
Phone (239) 692-8309

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Transport of Naples Inc CurrentSince Mar 17, 2024 Accepting new patients
ER Quickcare PL CurrentSince Jul 1, 2013 Accepting new patients
Southwest Florida Emergency Management LLC Emergency Medicine Past Accepting new patients
Thse - Marco Urgent Care LLC Past Accepting new patients
Emergency Physicians of Naples PLLC Emergency Medicine Past Accepting new patients

Locations

13030 Livingston Rd
Ste 3
Naples, FL 34105
Phone (239) 259-5152

4990 Golden Gate Pkwy
Naples, FL 34116
Phone (239) 692-8309

4990 Golden Gate Pkwy
Ste 2
Naples, FL 34116
Phone (239) 692-8309

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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 1

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1609893411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160448",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331160448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-436-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAISAN",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME51860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371794100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF FLORIDA",
            "identifier": "08699",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.