Active NPI
Paul Alan Fickey Jr., M.D.
- Surgery Physician
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME163995
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Wound Physicians of FL, LLC | Family Medicine | Current | Accepting new patients |
| Vohra Wound Physicians of FL, LLC | Family Medicine | Current | Accepting new patients |
| Florida Post Acute Care Clinicians, LLC | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Miramar, FL
- NPI 1811398811
-
- Family Medicine Physician
- Conyers, GA
- NPI 1598061293
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.