Active NPI
Richard E Paulus, MD
- Cardiovascular Disease Physician
- Ashland, KY
National Provider Identifier
1700875986
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 20, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 29247
- Practice address
- 613 23Rd St
Ste 230
Ashland, KY 41101-2876 - Phone
- (606) 324-4745
- Fax
- (606) 326-0165
- NPI assigned
- Oct 19, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 29247 | KY | Primary |
Addresses
Primary practice location
613 23Rd St
Ste 230
Ashland, KY 41101-2876
Mailing address
PO Box 2380
Ashland, KY 41105-2380
Phone (606) 324-4745
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64002470 | Medicaid | KY | |
| 000000049963 | Other | KY | ANTHEM BLUECROSS & BLUESH |
| 000733000 | Other | WV | MT STATE BCBS |
| 0086372000 | Medicaid | WV | |
| 0906416 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Bellefonte Hospital, Inc. | Past | Accepting new patients | |
| Cumberland Cardiology PSC | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Ashland, KY
- NPI 1053301788
-
- Nurse Practitioner
- Ashland, KY
- NPI 1457545543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1700875986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2380",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411052380",
"telephone_number": "606-324-4745",
"fax_number": "606-326-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 23RD ST",
"address_2": "STE 230",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012876",
"telephone_number": "606-324-4745",
"fax_number": "606-326-0165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULUS",
"first_name": "RICHARD",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "29247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64002470",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUECROSS & BLUESH",
"identifier": "000000049963",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT STATE BCBS",
"identifier": "000733000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0086372000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0906416",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.