SANTHOSH K PAULUS MD
NPI 1801981733
Family Medicine in Glen Cove, NY

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
101 SAINT ANDREWS LN, GLEN COVE, NY 11542(516) 674-7900(516) 674-7904 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Santhosh K Paulus Md NPPES

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

SANTHOSH K PAULUS MD (NPI 1801981733) is an individual family medicine provider in Glen Cove, New York, licensed in New York (237120) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Huntington Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1801981733
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSANTHOSH K PAULUSCredential: MD
Location Address101 SAINT ANDREWS LNGlen Cove, NY 11542-2254
Mailing Address972 Brush Hollow Rd, 4th FloorWestbury, NY 11590-1740 · (516) 876-5555 · Fax (516) 876-5539
Fax(516) 674-7904
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1801981733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 237120
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
101 SAINT ANDREWS LN, Glen Cove, NY 11542

Other Identifiers 3

Medicare ID-Type Unspecified5577A1
Medicaid02743391NY
Medicare UPINI43075

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

Santhosh K Paulus Md 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 ID8325063472
PECOS Enrollment IDI20051007000828
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 5

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

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
518 services258 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
142 services90 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
138 services133 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
37 services37 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
28 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Ns/Lij Hs Huntington Hospital

Acute Care Hospitals · Huntington, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330045
Location270 Park AvenueHuntington, NY 11743 · Suffolk County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11542 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$67.58 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.98 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 20

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

Nurse Practitioner (Family)
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Pharmacist
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Emergency Medicine
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Student in an Organized Health Care Education/Training Program
101 SAINT ANDREWS LN, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542
Hospitalist
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Student in an Organized Health Care Education/Training Program
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Internal Medicine
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Radiology (Diagnostic Radiology)
101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santhosh Paulus's NPI number?

The NPI number for Santhosh Paulus is 1801981733. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Santhosh Paulus located?

Santhosh Paulus practices at 101 Saint Andrews Ln, Glen Cove, NY 11542. The listed phone number is (516) 674-7900.

What is Santhosh Paulus's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Santhosh Paulus enrolled in Medicare?

Yes. Santhosh Paulus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Santhosh Paulus affiliated with any hospitals?

According to CMS data, Santhosh Paulus is affiliated with Ns/Lij Hs Huntington Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Santhosh Paulus was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.