NPIMap

Individual provider Active NPI

John B Paulus, D.O.

  • Internal Medicine Physician
  • Cheyenne, WY
National Provider Identifier
1841200797
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10293A Issued in WY
Practice address
1401 Airport Parkway
Ste 100
Cheyenne, WY 82001-1522
Phone
(307) 369-2572
Fax
(307) 670-7660
NPI assigned
Aug 9, 2006
Last updated
May 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10293A WY Primary

Addresses

Primary practice location

1401 Airport Parkway
Ste 100
Cheyenne, WY 82001-1522

Mailing address

1401 Airport Parkway
Ste 100
Cheyenne, WY 82001-1522
Phone (307) 369-2572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104002674 WY Practitioner - Internal Medicine 1456312792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia Col of Osteo Med, Sewanee, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1401 Airport Pkwy
Suite 100
Cheyenne, WY 82001-1522
Phone (307) 369-2572

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Paulus LLC Internal Medicine CurrentSince Aug 16, 2023 Accepting new patients
Community Memorial Health System Past Accepting new patients
Eden Hospice at Cheyenne, LLC PastSince Oct 1, 2025 Accepting new patients
Community Memorial Health System Past Accepting new patients
John B Paulus DO LLC Past Accepting new patients

Locations

1401 Airport Pkwy
Ste 100
Cheyenne, WY 82001
Phone (307) 369-2572

Interoperability endpoints

  • Direct secure messaging: john.paulus@842173506060292.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eden HospiceCheyenne, WY, CCN 531531 Hospice W-2 Managing Employee (100%) Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1841200797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AIRPORT PARKWAY",
            "address_2": "STE 100",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011522",
            "telephone_number": "307-369-2572",
            "fax_number": "307-670-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AIRPORT PARKWAY",
            "address_2": "STE 100",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011522",
            "telephone_number": "307-369-2572",
            "fax_number": "307-670-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULUS",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "10293A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.