NPIMap

Individual provider Active NPI

J Paul Mahfood, MD

  • Rheumatology Physician
  • Port St Lucie, FL
National Provider Identifier
1659316909
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME 65617 Issued in FL
Practice address
549 NW Lake Whitney PL
Suite 101
Port St Lucie, FL 34986-1606
Phone
(772) 879-2228
Fax
(772) 879-2208
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME 65617 FL Primary

Addresses

Primary practice location

549 NW Lake Whitney PL
Suite 101
Port St Lucie, FL 34986-1606

Mailing address

549 NW Lake Whitney PL
Suite 101
Port St Lucie, FL 34986-1606
Phone (772) 879-2228

Other identifiers 1

IdentifierTypeStateIssuer
280671100MedicaidFL

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
I20070725000475 FL Practitioner - RheumatologyPractitioner - Internal Medicine 1254323355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

549 N W Lake Whitney Place
Suite 101
Port St Lucie, FL 34986-1606

549 NW Lake Whitney PL
Suite 105
Port St Lucie, FL 34986-1606

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • HCA Florida Raulerson Hospital Hospital, Okeechobee, FL, CCN 100252

Merit-based Incentive Payment System (MIPS)

Final score
90.81 of 100Reported as individual
Quality
80.84
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 65617FLMDRheumatology Physician
34051TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J Paul Mahfood MD Inc Rheumatology CurrentSince Feb 1, 2010 Accepting new patients
St Lucie Medical Specialists LLC Rheumatology Past Accepting new patients
Tristate Orthopedics Past Accepting new patients

Locations

549 NW Lake Whitney Pl
Ste 105
Port St Lucie, FL 34986
Phone (772) 879-2228

549 NW Lake Whitney Pl
Ste 101
Port St Lucie, FL 34986
Phone (772) 879-2228

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCDIAD
  • Direct secure messaging: jad.mahfood.1@16601.direct.athenahealth.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 4

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1659316909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 NW LAKE WHITNEY PL",
            "address_2": "SUITE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861606",
            "telephone_number": "772-879-2228",
            "fax_number": "772-879-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 NW LAKE WHITNEY PL",
            "address_2": "SUITE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861606",
            "telephone_number": "772-879-2228",
            "fax_number": "772-879-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHFOOD",
        "first_name": "J",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME 65617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280671100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.