NPIMap

Individual provider Active NPI

Paul W. Pumilia, M.D.

  • Internal Medicine Physician
  • Tacoma, WA
National Provider Identifier
1659454528
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD6045014 Issued in WA
Practice address
3124 S 19TH St # 140
Tacoma, WA 98405-2433
Phone
(253) 459-6510
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2001-01597 NC
Internal Medicine Physician 207R00000X MD6045014 WA Primary

Addresses

Primary practice location

3124 S 19TH St # 140
Tacoma, WA 98405-2433

Mailing address

3124 S 19TH St # 140
Tacoma, WA 98405-2433
Phone (253) 459-6510

Other identifiers 6

IdentifierTypeStateIssuer
0637660001OtherNCPALMETTO GOV. BEN. SERVIC
110228992OtherNCRAILROAD MEDICARE
130K7OtherNCBLUE CROSS BLUE SHIELD
89130K7MedicaidNC
04-00886OtherNCUNITED HEALTHCARE
561852981JOtherNCCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20101213001029 WA Practitioner - Internal Medicine 0941370803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proctor Personal MD PLLCGroup PAC ID 8123431087, 2 clinicians
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2517 N Washington St
Tacoma, WA 98406-5841
Phone (253) 759-3586

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD6045014WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jul 28, 2014 Accepting new patients
Multicare Health System Current Accepting new patients
Proctor Personal MD, PLLC Internal Medicine CurrentSince May 22, 2023 Accepting new patients
Synergy Health Current Accepting new patients
Multicare Health System CurrentSince Jul 28, 2014 Accepting new patients
Auburn Family Medical Center, Inc., P.S. Past Accepting new patients
Multicare Health System Past Accepting new patients
Transylvania Community Hospital, Inc. Past Accepting new patients
Medical Associates of Transylvania PA Past Accepting new patients

Locations

202 N Division St
Ste 405
Auburn, WA 98001
Phone (206) 939-3604

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

3124 S 19th St
#140
Tacoma, WA 98405
Phone (253) 459-6510

2517 N Washington St
Tacoma, WA 98406
Phone (253) 468-7584

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: ppumilia135913@direct.multicare.org

Organizations & group practices 10

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 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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1659454528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 S 19TH ST # 140",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052433",
            "telephone_number": "253-459-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 S 19TH ST # 140",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052433",
            "telephone_number": "253-459-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMILIA",
        "first_name": "PAUL",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2001-01597",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD6045014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GOV. BEN. SERVIC",
            "identifier": "0637660001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110228992",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "130K7",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89130K7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "04-00886",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "561852981J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.