DR. PAUL P MARAJ M.D.
NPI 1114214301
Internal Medicine - Nephrology in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

Active since July 07, 2011PECOS EnrolledAccepts Medicare Assignment

836 PRUDENTIAL DRIVE, SUITE 1502 PAVILION BLDG, JACKSONVILLE, FL 32207(904) 389-1111(904) 389-5332 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Paul P Maraj M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL P MARAJ M.D. (NPI 1114214301) is an individual nephrology provider in Jacksonville, Florida, licensed in Florida (ME145136) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Baylor College Of Medicine (2016).

NPPES Registry Identity

NPI1114214301

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. PAUL P MARAJCredential: M.D.

Location Address836 PRUDENTIAL DRIVE, SUITE 1502 PAVILION BLDGJacksonville, FL 32207

Mailing Address2 Shircliff Way, Suite 700 Depaul BldgJacksonville, FL 32204 · (904) 389-5333 · Fax (904) 389-5332

Phone(904) 389-1111

Fax(904) 389-5332

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2016

Enumeration DateJuly 7, 2011

Last NPPES UpdateOctober 22, 2024

NPPES CertifiedOctober 5, 2020

✔ NPI 1114214301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in FL · ME145136✔ Licensed in KS · 04-38562

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

836 PRUDENTIAL DRIVE, Jacksonville, FL 32207

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Other Identifiers 1

Medicaid106273900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul P Maraj M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951690072

PECOS Enrollment IDI20200715000584

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

612 services222 patients

Follow-up hospital inpatient care per day, typically 25 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

559 services202 patients

Established patient office or other outpatient visit, 20-29 minutes 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

210 services124 patients

Initial hospital inpatient care per day, typically 70 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

158 services151 patients

Established patient office or other outpatient visit, 30-39 minutes 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

131 services84 patients

Initial hospital inpatient care per day, typically 50 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

76 services60 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100140

Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

75%276 patients4/55-star benchmark: 85%

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

100%20 patients5/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

68%891 patients1/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

42%268 patients2/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

29%459 patients2/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

37%331 patients2/55-star benchmark: 88%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 100% · 299 patients

Patients tobacco: 40% · 299 patients

7%194 patients1/55-star benchmark: 98%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 268 patients

0%268 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers12 claims2,220 services$0.18 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EUGENE WILLIAM GNIDA MD

Internal Medicine

836 PRUDENTIAL DRIVE, SUITE 1400
JACKSONVILLE, FL 32207

Duval County (904) 348-0974

MRS. WINIFRED EILEEN TATE ARNP

Nurse Practitioner

836 PRUDENTIAL DRIVE, SUITE 1001
JACKSONVILLE, FLORIDA 32207

Duval County (904) 388-6518

STACIE WARD COOK M.D.

Obstetrics & Gynecology

836 PRUDENTIAL DRIVE, SUITE 1103
JACKSONVILLE, FL 32207

Duval County (904) 398-9499

FLORIDA PHYSICIAN SPECIALISTS LLC

Urology

836 PRUDENTIAL DRIVE, SUITE 1606
JACKSONVILLE, FL 32207

Duval County (904) 396-3700

MRS. TERESA L MACGREGOR ARNP

Nurse Practitioner (Pediatrics)

836 PRUDENTIAL DRIVE, UFJAX - DEPARTMENT OF NEUROSURGERY (PEDIATRIC)
JACKSONVILLE, FL 32207

Duval County (904) 633-0780

NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC

Obstetrics & Gynecology (Reproductive Endocrinology)

836 PRUDENTIAL DRIVE, SUITE 902
JACKSONVILLE, FL 32207

Duval County (904) 281-9887

MS. SARA DIANNE MOHR ARNP

Nurse Practitioner (Family)

836 PRUDENTIAL DRIVE, SUITE 1800
JACKSONVILLE, FL 32207

Duval County (904) 398-7684

DR. ANDREEA POENARIU M.D.

Internal Medicine (Nephrology)

836 PRUDENTIAL DRIVE, SUITE 1502 PAVILION BLDG
JACKSONVILLE, FL 32207

Duval County (904) 398-1111