Active NPI
Paul Maluso, MD
- Orthopaedic Surgery Physician
- Ocoee, FL
National Provider Identifier
1730175373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME0042664
- 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, 2012
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01208684 | Other | AMERIGROUP | |
| 619949 | Other | UNITED HEALTHCARE | |
| 47588W | Other | MEDICARE | |
| 05062 | Other | WELLCARE | |
| 4008476 | Other | AETNA | |
| 049333300 | Medicaid | FL | |
| 47588 | Other | BCBS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0042664 | FL | MD | Orthopaedic Surgery Physician |
Interoperability endpoints
- 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.
-
- Orthopaedic Surgery Physician
- Ocoee, FL
- NPI 1255479937
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.