Active NPI
Michael D Paul, M.D
- Specialist
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0070321
- Practice address
- 1701 SE Hillmoor Dr
Port St Lucie, FL 34952-7552 - Phone
- (772) 398-9998
- Fax
- (772) 398-9986
- NPI assigned
- Jul 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0070321 | FL | Primary |
Addresses
Primary practice location
1701 SE Hillmoor Dr
Port St Lucie, FL 34952-7552
Mailing address
705 NE Stokes Ter
Jensen Beach, FL 34957-3735
Phone (772) 334-2694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Temple University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1701 SE Hillmoor Dr
Port Saint Lucie, FL 34952-7552
Phone (772) 398-9998
Hospital & facility affiliations
- Vitalcaring Group
- St Lucie Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 92 |
| Laminectomy or laminotomy (partial removal of spine bones) | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0070321 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macmillan Paul and Burkarth PA | Specialist | Current | Accepting new patients |
Locations
1701 SE Hillmoor Dr
#8
Port Saint Lucie, FL 34952
Phone (772) 398-9998
1701 SE Hillmoor Dr
Ste 8
Port St Lucie, FL 34952
Phone (561) 335-4000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Specialist
- Port St Lucie, FL
- NPI 1215123781
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
- Home Health Agency
- West Palm Beach, FL
- NPI 1477603140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1669403200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 NE STOKES TER",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349573735",
"telephone_number": "772-334-2694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SE HILLMOOR DR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527552",
"telephone_number": "772-398-9998",
"fax_number": "772-398-9986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0070321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.