Active NPI
Adina Tali Paulk, M.D.
- Anatomic Pathology Physician
- Silver Spring, MD
National Provider Identifier
1821437781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- D086666
- Practice address
- 606 Stephen Sitter Ave
Silver Spring, MD 20910-1290 - Phone
- (301) 295-6765
- NPI assigned
- Jun 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anatomic Pathology Physician | 207ZP0101X | D086666 | MD | Primary |
Addresses
Primary practice location
606 Stephen Sitter Ave
Silver Spring, MD 20910-1290
Mailing address
606 Stephen Sitter Ave
Silver Spring, MD 20910-1290
Phone (301) 295-6765
Other practice location 1
25 Crossroads Dr Ste 306
Owings Mills, MD 21117-5437
Phone (443) 738-2872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Maryland School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12200 Kiln CT
Suite a
Beltsville, MD 20705-1324
Phone (410) 581-1600
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D086666 | MD | MD | Anatomic Pathology Physician |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1821437781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 STEPHEN SITTER AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101290",
"telephone_number": "301-295-6765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 STEPHEN SITTER AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101290",
"telephone_number": "301-295-6765"
}
],
"practiceLocations": [
{
"address_1": "25 Crossroads Dr Ste 306",
"address_purpose": "LOCATION",
"city": "Owings Mills",
"state": "MD",
"postal_code": "211175437",
"country_code": "US",
"telephone_number": "443-738-2872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAULK",
"first_name": "ADINA",
"middle_name": "TALI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MD",
"license": "D086666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.