Individual provider Active NPI

Paulson Kotturan, M.D.

  • Family Medicine Physician
  • Deerfield Beach, FL
National Provider Identifier
1821055328
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0050768 Issued in FL
Practice address
220 SW Natura Ave
Deerfield Beach, FL 33441-3026
Phone
(954) 360-7000
Fax
(954) 360-7511
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0050768 FL Primary

Addresses

Primary practice location

220 SW Natura Ave
Deerfield Beach, FL 33441-3026

Mailing address

220 SW Natura Ave
Deerfield Beach, FL 33441-3026
Phone (954) 360-7000

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
I20031229000547 FL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family PracticePractitioner - Pain Management 9638077670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pain Management
Education
University of Miami, LM Miller School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5130 Linton Blvd
Delray Beach, FL 33484-6596
Phone (561) 819-6125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0050768FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hyperbaric Services of the Palm Beaches LLC CurrentSince Feb 10, 2025 Accepting new patients
The Health Center, Inc PastSince Aug 11, 2012 Accepting new patients

Locations

5130 Linton Blvd
Ste H3
Delray Beach, FL 33484
Phone (561) 703-6936

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJCDCD/Endpoint/AJCDCD
  • Direct secure messaging: paul.kotturan.1@20200.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1821055328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW NATURA AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413026",
            "telephone_number": "954-360-7000",
            "fax_number": "954-360-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SW NATURA AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413026",
            "telephone_number": "954-360-7000",
            "fax_number": "954-360-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTURAN",
        "first_name": "PAULSON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0050768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.