Individual provider Active NPI

Paul Alan Fickey Jr., M.D.

  • Surgery Physician
  • Miramar, FL
National Provider Identifier
1659733301
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME163995 Issued in FL
Practice address
3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314
Phone
(954) 366-4673
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101272379 VA
Surgery Physician 208600000X 125.069695 IL
Surgery Physician 208600000X ME163995 FL Primary

Addresses

Primary practice location

3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314

Mailing address

3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314
Phone (954) 399-4673

Other practice location 1

1650 W Harrison St
Suite 466, Atrium
Chicago, IL 60612-3800
Phone (979) 997-3763

Other practice location 2

800 W 4th St
Odessa, TX 79763-4368
Phone (432) 703-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210810003833 DC Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 7012200074 Reassigns benefits to 1 organization
I20210819003892 VA Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 7012200074 Reassigns benefits to 1 organization
I20231018001755 FL Practitioner - General Surgery 7012200074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Jul 26, 2021 Accepting new patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Jul 26, 2021 Accepting new patients
Florida Post Acute Care Clinicians, LLC Family Medicine CurrentSince Sep 18, 2023 Accepting new patients

Locations

100 M St SE
Ste 600
Washington, DC 20003
Phone (202) 574-5700

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 612-7385

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

1785 S Hayes St
Arlington, VA 22202
Phone (703) 920-0980

3900 Westerre Pkwy
Richmond, VA 23233
Phone (703) 491-6167

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1659733301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE STE 250",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276314",
            "telephone_number": "954-399-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE STE 250",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276314",
            "telephone_number": "954-366-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 W Harrison St",
            "address_2": "Suite 466, Atrium",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123800",
            "country_code": "US",
            "telephone_number": "979-997-3763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797634368",
            "country_code": "US",
            "telephone_number": "432-703-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FICKEY",
        "first_name": "PAUL",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101272379",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125.069695",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME163995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.