STEPHEN HARRY PAUL M.D.
NPI 1821060286
Internal Medicine - Gastroenterology in Valparaiso, IN

Q: What is Stephen Paul's NPI number?

The NPI number for Stephen Paul is 1821060286. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Q: What is Stephen Paul's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Paul was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment

87.95/100

CMS Quality Rating

2206 ROOSEVELT RD STE A, VALPARAISO, IN 46383(219) 464-9507(219) 477-4690 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2020, Aug 2, 2018, Oct 18, 2017 (3 updates tracked since 2017).

On this page

About Stephen Harry Paul M.d. NPPES

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

STEPHEN HARRY PAUL M.D. (NPI 1821060286) is an individual gastroenterology provider in Valparaiso, Indiana, licensed in Indiana (01038315) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821060286

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameSTEPHEN HARRY PAULCredential: M.D.

Location Address2206 ROOSEVELT RD STE AValparaiso, IN 46383

Mailing Address2022 Kelle DrChesterton, IN 46304-8708 · (219) 364-3616 · Fax (219) 364-3610

Phone(219) 464-9507

Fax(219) 477-4690

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 1985

Enumeration DateFebruary 1, 2006

Last NPPES UpdateSeptember 14, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2020

✔ NPI 1821060286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IN · 01038315

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2206 ROOSEVELT RD STE A, Valparaiso, IN 46383

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Secondary Practice Locations 2

Location 12206 Roosevelt Rd Ste BValparaiso, IN 46383-9618 · Phone (219) 464-9507 · Fax (219) 477-4690

Location 2650 Dickinson Rd Ste ZChesterton, IN 46304-3387 · Phone (219) 464-9507 · Fax (219) 477-4690

Other Identifiers 1

Medicaid100358050AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Stephen Harry Paul 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 ID8325092471

PECOS Enrollment IDI20050802000096

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 16

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 moderate level of decision making, if using time, 30 minutes or more 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.

491 services373 patients

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.

210 services191 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

173 services173 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

171 services171 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

167 services167 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

110 services107 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

110 services109 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.

64 services64 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

61 services61 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

48 services48 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

30 services30 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

29 services29 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

16 services16 patients

Biopsy of large bowel using a flexible endoscope 45380

16 services16 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

13 services13 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150034

Location1500 S Lake Park AveHobart, IN 46342 · Lake County

Emergency services Birthing friendly

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150035

Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County

Emergency services Birthing friendly

Northwest Health - Starke

Acute Care Hospitals · Knox, IN

OwnershipProprietary

CMS Certification Number150102

Location102 E Culver RdKnox, IN 46534 · Starke County

Emergency services

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150126

Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46383 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

87.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.04

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES

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

DR. AKSHAY R. TRIVEDI D.O.

Internal Medicine (Gastroenterology)

2206 ROOSEVELT RD STE A
VALPARAISO, IN 46383

Porter County (219) 464-2285

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 Stephen Paul's NPI number?

The NPI number for Stephen Paul is 1821060286. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Stephen Paul located?

Stephen Paul practices at 2206 Roosevelt Rd Ste A, Valparaiso, IN 46383. The listed phone number is (219) 464-9507.

What is Stephen Paul's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Stephen Paul enrolled in Medicare?

Yes. Stephen 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.

What insurance does Stephen Paul accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Stephen Paul as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephen Paul affiliated with any hospitals?

According to CMS data, Stephen Paul is affiliated with St Mary Medical Center Inc, Northwest Health - Porter, Northwest Health - Starke and Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Stephen Paul was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.