Individual provider Active NPI

Paul J Marks, MD

  • Pulmonary Disease Physician
  • Saint Helena, CA
National Provider Identifier
1669454310
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G58194 Issued in CA
Practice address
6 Woodland Rd Ste 301
Saint Helena, CA 94574-9562
Phone
(707) 963-6548
Fax
(707) 963-6546
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G58194 CA
Pulmonary Disease Physician 207RP1001X G58194 CA Primary

Addresses

Primary practice location

6 Woodland Rd Ste 301
Saint Helena, CA 94574-9562

Mailing address

6 Woodland Rd Ste 301
Saint Helena, CA 94574-9562
Phone (707) 963-6548

Other identifiers 1

IdentifierTypeStateIssuer
00G581940MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040216001336 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8022903301 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Loma Linda University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ukiah Adventist HospitalGroup PAC ID 6406816123, 136 clinicians

Practice addresses (Care Compare)

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
82.56
Promoting interoperability
93
Improvement activities
40
Cost
69.49

Merit-based Incentive Payment System (MIPS)

Final score
89.41 of 100Reported as group
Quality
86.32
Promoting interoperability
95
Improvement activities
40
Cost
66.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G58194CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ukiah Adventist Hospital CurrentSince Feb 1, 2023 Accepting new patients
Adventist Health Mendocino Coast CurrentSince Feb 17, 2023 Accepting new patients
Ukiah Adventist Hospital CurrentSince Jan 1, 2023 Accepting new patients
Adventist Health Mendocino Coast CurrentSince Feb 17, 2023 Accepting new patients
Willits Hospital Inc. CurrentSince Jan 1, 2023 Accepting new patients
Central Valley Critical Care Medicine - a Professional Corporat Critical Care Medicine CurrentSince Jun 1, 2018 Accepting new patients
Ilkyoon Kim MD a Prof Corp Past Accepting new patients

Locations

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

5211 W Goshen Ave
Visalia, CA 93291
Phone (559) 242-6860

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/

Organizations & group practices 7

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1669454310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WOODLAND RD STE 301",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749562",
            "telephone_number": "707-963-6548",
            "fax_number": "707-963-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WOODLAND RD STE 301",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749562",
            "telephone_number": "707-963-6548",
            "fax_number": "707-963-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G58194",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G58194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G581940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

Verify at the official NPI Registry.