Individual provider Active NPI

Paul Maluso, MD

  • Orthopaedic Surgery Physician
  • Ocoee, FL
National Provider Identifier
1730175373
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0042664 Issued in FL
Practice address
596 Ocoee Commerce Pkwy
Ocoee, FL 34761-4219
Phone
(407) 654-3505
Fax
(407) 654-4956
NPI assigned
Sep 20, 2005
Last updated
Jan 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0042664 FL Primary

Addresses

Primary practice location

596 Ocoee Commerce Pkwy
Ocoee, FL 34761-4219

Mailing address

596 Ocoee Commerce Pkwy
Ocoee, FL 34761-4219
Phone (407) 654-3505

Other identifiers 7

IdentifierTypeStateIssuer
01208684OtherAMERIGROUP
619949OtherUNITED HEALTHCARE
47588WOtherMEDICARE
05062OtherWELLCARE
4008476OtherAETNA
049333300MedicaidFL
47588OtherBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090827000163 FL Practitioner - Orthopedic Surgery 3577632165 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0042664FLMDOrthopaedic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: paul.maluso@wo.direct.systemedx.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1730175373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 OCOEE COMMERCE PKWY",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614219",
            "telephone_number": "407-654-3505",
            "fax_number": "407-654-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 OCOEE COMMERCE PKWY",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614219",
            "telephone_number": "407-654-3505",
            "fax_number": "407-654-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALUSO",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0042664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01208684",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "619949",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "47588W",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "05062",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4008476",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049333300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.