NPIMap

Individual provider Active NPI

Paul David Kauffman, M.D.

  • Family Medicine Physician
  • Salem, AR
National Provider Identifier
1891880555
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-5415 Issued in AR
Practice address
507 N Main St
Salem, AR 72576-9449
Phone
(870) 895-2541
Fax
(870) 895-2957
NPI assigned
Oct 4, 2006
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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 C-5415 AR Primary

Addresses

Primary practice location

507 N Main St
Salem, AR 72576-9449

Mailing address

PO Box 189
Salem, AR 72576-0189
Phone (870) 895-2541

Other practice location 1

679 N Main St
Salem, AR 72576-9451
Phone (870) 895-6096

Other identifiers 1

IdentifierTypeStateIssuer
102739001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20070507000447 AR Practitioner - Internal Medicine 4587760681 Reassigns benefits to 1 organization
Practice locations: Salem, AR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

507 N Main St
Salem, AR 72576-9449

679 N Main St
Salem, AR 72576-9451
Phone (870) 895-6096

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton County Hospital CurrentSince Jan 26, 2013 Accepting new patients
Fulton County Hospital CurrentSince Jan 26, 2013 Accepting new patients
Fulton County Hospital Current Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Family Health Care, LLC Past Accepting new patients

Locations

673 N Main St
Salem, AR 72576
Phone (870) 625-3111

Interoperability endpoints

  • Direct secure messaging: paul.kauffman@sfc-ar.direct.office.nextgen.com

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1891880555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725760189",
            "telephone_number": "870-895-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N MAIN ST",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725769449",
            "telephone_number": "870-895-2541",
            "fax_number": "870-895-2957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "679 N Main St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "AR",
            "postal_code": "725769451",
            "country_code": "US",
            "telephone_number": "870-895-6096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-5415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102739001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, AR

Sources for this page

Verify at the official NPI Registry.