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DR. JOSE T. PAUL MD
NPI 1821032590
Surgery in Flushing, NY

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
140-15 SANFORD AVE, FLUSHING, NY 11355(718) 670-6400(718) 640-6479 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jose T. Paul Md NPPES

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

DR. JOSE T. PAUL MD (NPI 1821032590) is an individual surgery provider in Flushing, New York, licensed in New York (187523) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1821032590
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOSE T. PAULCredential: MD
Location Address140-15 SANFORD AVEFlushing, NY 11355
Mailing Address441 9th Ave Fl 3New York, NY 10001-1623 · (646) 680-2888 · Fax (516) 542-5556
Phone(718) 670-6400
Fax(718) 640-6479
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJune 15, 2006
Last NPPES UpdateMarch 30, 2016
✔ NPI 1821032590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 187523
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
140-15 SANFORD AVE, Flushing, NY 11355
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Other Identifiers 3

Medicare UPINF78595NY
Medicaid01504732NY
Medicare PIN9255JQNY

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. Jose T. Paul 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 ID5991727323
PECOS Enrollment IDI20051228000344
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
68 services49 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.
52 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 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.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
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

Other Providers at the Same Location NPPES 5

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

DR. SANDRA L. FORDE M.D.
Family Medicine
140-15 SANFORD AVE
FLUSHING, NY 11355
Queens County (718) 670-6400
DR. LAURENCE R. BUTT M.D.
Internal Medicine (Pulmonary Disease)
140-15 SANFORD AVE
FLUSHING, NY 11355
Queens County (718) 670-6400
DR. BARRY LIPNICK MD
Dermatology
140-15 SANFORD AVE
FLUSHING, NY 11355
Queens County (718) 670-6400
DARIEN KONG OD
Optometrist
140-15 SANFORD AVE
FLUSHING, NY 11355
Queens County (718) 826-4000
ALAN J LESMAN MD
Internal Medicine (Gastroenterology)
140-15 SANFORD AVE
FLUSHING, NY 11355
Queens County (718) 826-4000

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 Jose Paul's NPI number?

The NPI number for Jose Paul is 1821032590. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Jose Paul located?

Jose Paul practices at 140-15 Sanford Ave, Flushing, NY 11355. The listed phone number is (718) 670-6400.

What is Jose Paul's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jose Paul enrolled in Medicare?

Yes. Jose Paul 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 Jose Paul affiliated with any hospitals?

According to CMS data, Jose Paul is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Paul was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.