Individual provider Active NPI

Stephen F. Paulus, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Burlington, VT
National Provider Identifier
1831240092
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
032.0058141 Issued in VT
Practice address
145 Pine Haven Shores Road
Suite 2061
Burlington, VT 05401-1523
Phone
(802) 489-5470
Fax
(802) 497-0867
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 032.0058141 VT Primary
Family Medicine Physician 207Q00000X 032.0058141 VT

Addresses

Primary practice location

145 Pine Haven Shores Road
Suite 2061
Burlington, VT 05401-1523

Mailing address

145 Pine Haven Shores Road
Suite 2061
Burlington, VT 05401-1523
Phone (802) 489-5470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20120229000019 VT Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 5890722425 Reassigns benefits to 1 organization
Practice locations: Shelburne, VT

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

145 Pine Haven Shores Rd
Suite 2061
Shelburne, VT 05482-7815
Phone (802) 489-5470

Hospital & facility affiliations

  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032.0058141VTMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Paulus DO PLLC Neuromusculoskeletal Medicine & Omm CurrentSince Sep 28, 2025 Accepting new patients
Stephen Paulus DO PLLC CurrentSince Sep 28, 2025 Accepting new patients
Jonathan E. Fenton D.O., P.C. PastSince Aug 1, 2023 Accepting new patients

Locations

145 Pine Haven Shores Rd
Ste 2061
Shelburne, VT 05482
Phone (802) 489-5470

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1831240092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES ROAD",
            "address_2": "SUITE 2061",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011523",
            "telephone_number": "802-489-5470",
            "fax_number": "802-497-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES ROAD",
            "address_2": "SUITE 2061",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011523",
            "telephone_number": "802-489-5470",
            "fax_number": "802-497-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULUS",
        "first_name": "STEPHEN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "VT",
            "license": "032.0058141",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "032.0058141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.