Paul J. Mackoul, M.D.

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

D0047612 Issued in MD

Practice address

8218 Wisconsin Ave
Ste 414
Bethesda, MD 20814-3107

Phone

(410) 990-4480

Fax

(410) 990-4484

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• The Center for Innovative GYN Center, PC

  • Obstetrics & Gynecology Physician
  • Rockville, MD
  • NPI 1437476777
  NPD (past) Authorized official
• GYN Surgicenter Rockville PC

  • Ambulatory Surgical Clinic/Center
  • Rockville, MD
  • NPI 1427428440
  NPD
• Center for GYN Surgery

  • Specialist
  • Rockville, MD
  • NPI 1346520699
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Visionary ASC NJ

  • Ambulatory Surgical Clinic/Center
  • Secaucus, NJ
  • NPI 1588131627
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1982634341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37230",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973230",
            "telephone_number": "410-990-4480",
            "fax_number": "410-990-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8218 WISCONSIN AVE",
            "address_2": "STE 414",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143107",
            "telephone_number": "410-990-4480",
            "fax_number": "410-990-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKOUL",
        "first_name": "PAUL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MD",
            "license": "D0047612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14690290",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Janette Mackey, CRNP
• Lauren Mackie, LMSW
• Vernon Eugene Mackie Jr., M.D.
• Kendall Mackintosh, MS, CNS, LDN, INHC
• Jessica Macklin
• Derek Thomas Macmath
• Alicia Macmichael
• Cynthia Toyomi Izuno Macri, M.D.
• Ryan Kelly Macvicar, MD
• Stephen F. Madaras, DO

• Gynecologic Oncology Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Gynecologic Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.