Paul L Vitulli, DO

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

OS10498 Issued in FL

Practice address

330 A1A N
Suite 322
Ponte Vedra Beach, FL 32082-1823

Phone

(904) 551-0703

Fax

(904) 551-0709

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

New York College of Osteo Medicine of New York Institute of Technology, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duval Vascular Center LLCGroup PAC ID 6305131251, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCHICA
• Direct secure messaging: paulvitulli_31731@duvalvascular.omnimddirect.com

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.

• Duval Vascular Center, LLC

  • Medical Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1013375195

  Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD
• Diagnostic Imaging PA

  • Diagnostic Radiology Physician
  • Ponte Vedra Beach, FL
  • NPI 1285870089
  Medicare reassignment NPD
• First Coast Vein, LLC

  • Specialist
  • Ponte Vedra Beach, FL
  • NPI 1457755373
  Medicare reassignment NPD
• North Florida Multispecialty Physicians LLC

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1639593213

  Diagnostic Radiology

  NPD (past)
• Sunshine Radiology LLC

  • Diagnostic Radiology Physician
  • Winter Haven, FL
  • NPI 1184895054
  NPD (past)
• Vascular Anesthesia Associates PLLC

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1346706173
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1932142114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W MONROE ST STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041177",
            "telephone_number": "904-518-1398",
            "fax_number": "904-513-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 A1A N",
            "address_2": "SUITE 322",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821823",
            "telephone_number": "904-551-0703",
            "fax_number": "904-551-0709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 W Monroe St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322041177",
            "country_code": "US",
            "telephone_number": "904-518-1398",
            "fax_number": "904-513-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITULLI",
        "first_name": "PAUL",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS10498",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "OS10498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000818800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selma Vail, BCBA
• Dana B Ventouras, OTR/L
• Christine Monahan Ventresca, LMHC
• Darian Vines, PHYSICIAN ASSISTANT
• Vision Express
• Kyle Brendan Volland, PHARM.D.
• Stephanie Anne Voshell, HAS
• Janice Wachtel, PH.D.
• Bambi Lynn Wadelton, PLHD
• Susan Smicklas Wadsworth, OT

• Vascular & Interventional Radiology Physician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.

Verify at the official NPI Registry.