NPIMap

Individual provider Active NPI

Edward G Paul, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1619058880
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33100 Issued in AZ
Practice address
33 W Tamarisk St
Phoenix, AZ 85041-2422
Phone
(833) 855-9973
Fax
(602) 655-9660
NPI assigned
Oct 17, 2006
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33100 AZ Primary
Hospitalist Physician 208M00000X 33100 AZ

Addresses

Primary practice location

33 W Tamarisk St
Phoenix, AZ 85041-2422

Mailing address

8088 W Whitney Dr
Peoria, AZ 85345-6564

Other practice location 1

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 522-9400

Other practice location 2

2851 S Avenue B
Bldg 25
Yuma, AZ 85364-7726
Phone (928) 336-7095

Other identifiers 2

IdentifierTypeStateIssuer
276776MedicaidAZ
Z145397OtherAZMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040831000482 AZ Practitioner - Family Practice 6608841911 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

33 W Tamarisk St
Phoenix, AZ 85041-2422
Phone (602) 344-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33100AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District Current Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Maricopa County Special Health Care District CurrentSince Jul 1, 2022 Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2022 Accepting new patients
Yuma Regional Medical Center CurrentSince Sep 2, 2015 Accepting new patients
Maricopa County Special Health Care District CurrentSince Jul 1, 2022 Accepting new patients
District Medical Group, Inc Current Accepting new patients
North Country Healthcare, Inc. Family Medicine Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Aug 1, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2022 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Locations

1120 W University Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 522-1300

2500 N Rose St
Flagstaff, AZ 86004
Phone (928) 213-6121

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2851 S Avenue B
Bldg 25
Yuma, AZ 85364
Phone (928) 336-7020

Interoperability endpoints

  • Direct secure messaging: edward.paul.1@5919.direct.athenahealth.com
  • Direct secure messaging: pedward243726@direct.valleywisehealth.org

Organizations & group practices 12

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 12

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1619058880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8088 W WHITNEY DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W TAMARISK ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412422",
            "telephone_number": "833-855-9973",
            "fax_number": "602-655-9660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "86004",
            "country_code": "US",
            "telephone_number": "928-522-9400",
            "fax_number": "928-774-4808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2851 S Avenue B",
            "address_2": "Bldg 25",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647726",
            "country_code": "US",
            "telephone_number": "928-336-7095",
            "fax_number": "928-336-7295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "EDWARD",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "33100",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "33100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276776",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z145397",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.