Individual provider Active NPI

Paul Joseph Kaulius, D.P.M.

  • Foot Surgery Podiatrist
  • Trexlertown, PA
National Provider Identifier
1669442679
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC003112-L Issued in PA
Practice address
6900 Hamilton Blvd
Trexlertown, PA 18087
Phone
(610) 481-9455
Fax
(610) 481-9997
NPI assigned
Jan 23, 2006
Last updated
Sep 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SC003112-L PA Primary

Addresses

Primary practice location

6900 Hamilton Blvd
Trexlertown, PA 18087

Mailing address

6900 Hamilton Blvd
PO Box 60
Trexlertown, PA 18087-9100
Phone (610) 481-9455

Other identifiers 1

IdentifierTypeStateIssuer
0011044200003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101206001201 PA Practitioner - Podiatry 1456566256 Reassigns benefits to 1 organization
Practice locations: Trexlertown, PA
O20100930008854 PA DME Supplier - Physician - Podiatry 7911026869 Practice locations: Trexlertown, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Partners Community Health CenterGroup PAC ID 4284065327, shared by 14 NPIs, 121 clinicians

Practice addresses (Care Compare)

400 N 17TH St
Allentown, PA 18104-5052

6900 Hamilton Blvd
Trexlertown, PA 18087-9101
Phone (610) 481-9455

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue2670
Removal or shaving of skin growth1018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC003112-LPAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Sep 4, 2018 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 4, 2018 Accepting new patients
Eastern PA Down Syndrome Center Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

401 N 17th St
Ste 105
Allentown, PA 18104
Phone (610) 432-2013

6900 Hamilton Blvd
Trexlertown, PA 18087
Phone (610) 402-0101

6900 Hamilton Blvd
#A
Trexlertown, PA 18087

6900 Hamilton Blvd
Unit 275
Trexlertown, PA 18087
Phone (610) 481-9455

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1669442679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 HAMILTON BLVD",
            "address_2": "PO BOX 60",
            "city": "TREXLERTOWN",
            "state": "PA",
            "postal_code": "180879100",
            "telephone_number": "610-481-9455",
            "fax_number": "610-481-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 HAMILTON BLVD",
            "city": "TREXLERTOWN",
            "state": "PA",
            "postal_code": "18087",
            "telephone_number": "610-481-9455",
            "fax_number": "610-481-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAULIUS",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC003112-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011044200003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trexlertown, PA

Sources for this page

Verify at the official NPI Registry.