Individual provider Active NPI

Paul Neal, DO

  • Family Medicine Physician
  • Bay City, MI
National Provider Identifier
1861463879
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
322426 Issued in LA
Practice address
3906 N Euclid Ave
Bay City, MI 48706-2029
Phone
(989) 667-1955
Fax
(989) 667-1958
NPI assigned
Jan 28, 2006
Last updated
Jun 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 322426 LA
Family Medicine Physician 207Q00000X 322426 LA Primary
Family Medicine Physician 207Q00000X 02004648A IN
Family Medicine Physician 207Q00000X 5101016313 MI

Addresses

Primary practice location

3906 N Euclid Ave
Bay City, MI 48706-2029

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

2900 16th St
Bedford, IN 47421-3510
Phone (812) 275-1381

Other practice location 2

4200 Nelson Rd
Lake Charles, LA 70605-4118
Phone (337) 474-6370

Other identifiers 3

IdentifierTypeStateIssuer
1861463879OtherMIBC BS MI
1861463879MedicaidMI
114977228MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20200522001151 LA Practitioner - Family PracticePractitioner - Emergency Medicine 0042312084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Emergency Physician Partners LLCGroup PAC ID 0042568917, 12 clinicians

Practice addresses (Care Compare)

1900 Main St
Franklinton, LA 70438-3688
Phone (985) 839-4431

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322426LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Emergency Physician Partners LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Calcasieu Cameron Emergency Physician Group LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Hospitalmd of Caro Ip, Inc. Past Accepting new patients
Sterling Emergency Services of Michigan, Inc Emergency Medicine Past Accepting new patients
Covenant Medical Center, Inc Family Medicine Past Accepting new patients
Sturgis Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Sterling Emergency Services of Michigan, Inc. Emergency Medicine Past Accepting new patients
Hospitalmd of Caro, Inc. Emergency Medicine Past Accepting new patients

Locations

1900 Main St
Sheridan, LA 70438
Phone (985) 795-4294

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Organizations & group practices 9

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 6

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1861463879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 N EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062029",
            "telephone_number": "989-667-1955",
            "fax_number": "989-667-1958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 16th St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474213510",
            "country_code": "US",
            "telephone_number": "812-275-1381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 Nelson Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706054118",
            "country_code": "US",
            "telephone_number": "337-474-6370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "322426",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "322426",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02004648A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS MI",
            "identifier": "1861463879",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861463879",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114977228",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.