Individual provider Active NPI

Joseph Alan Paulisin, D.O

  • Surgery Physician
  • Bloomfield Hills, MI
National Provider Identifier
1962790246
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101019108 Issued in MI
Practice address
3514 Darcy Dr
Bloomfield Hills, MI 48301-2123
Phone
(248) 227-9595
NPI assigned
Jul 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101019108 MI Primary

Addresses

Primary practice location

3514 Darcy Dr
Bloomfield Hills, MI 48301-2123

Mailing address

3514 Darcy Dr
Bloomfield Hills, MI 48301-2123
Phone (248) 227-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180606002078 MI Practitioner - Vascular SurgeryPractitioner - General Surgery 1557674413 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Michigan State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamid Sattar MD PCGroup PAC ID 9638350358, 10 clinicians
Integrated Vascular Vein Center of Michigan PCGroup PAC ID 7517224934, 5 clinicians

Practice addresses (Care Compare)

25130 Southfield Rd
Suite 120
Southfield, MI 48075-1900
Phone (248) 262-7120

600 Health Park Blvd
Suite G
Grand Blanc, MI 48439-2558
Phone (810) 606-1660

Hospital & facility affiliations

  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal66
Leg revascularization (restoring blood flow)26
Removal of tissue46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Vascular Vein Center of Michigan PC Vascular Surgery CurrentSince Sep 1, 2018 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Sep 1, 2025 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Vascular Surgery CurrentSince Sep 1, 2025 Accepting new patients
Genesys Integrated Group Practice PC PastSince Sep 1, 2018 Accepting new patients
Henry Ford Health Genesys Hospital Past Accepting new patients

Locations

600 Health Park Blvd
Ste G
Grand Blanc, MI 48439
Phone (810) 424-2259

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

300 W Washington Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-1305

944 Baldwin Rd
Ste D
Lapeer, MI 48446
Phone (810) 606-1660

Interoperability endpoints

  • Direct secure messaging: jpaulisin1144133@direct.hfhs.org
  • Direct secure messaging: josephpaulisin@pmi.allscriptsdirect.net

Organizations & group practices 7

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 2

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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1962790246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 DARCY DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483012123",
            "telephone_number": "248-227-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 DARCY DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483012123",
            "telephone_number": "248-227-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULISIN",
        "first_name": "JOSEPH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101019108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.