DR. PAUL ANIKE DO
NPI 1831152859
Internal Medicine - Cardiovascular Disease in Lima, OH

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
88.08/100
CMS Quality Rating
1003 BELLEFONTAINE AVE STE 200, LIMA, OH 45804(419) 224-5915(419) 224-5918 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2020, Sep 17, 2020, Feb 16, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Paul Anike Do NPPES

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

DR. PAUL ANIKE DO (NPI 1831152859) is an individual cardiovascular disease provider in Lima, Ohio, licensed in Ohio (34007836A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1831152859
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PAUL ANIKECredential: DO
Location Address1003 BELLEFONTAINE AVE STE 200Lima, OH 45804-1803
Mailing Address1001 Bellefontaine AveLima, OH 45804-2800 · (419) 998-4575 · Fax (419) 998-4586
Fax(419) 224-5918
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1995
Enumeration DateApril 10, 2006
Last NPPES UpdateDecember 29, 20204 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
NPI 1831152859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in OH · 34007836A
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1003 BELLEFONTAINE AVE STE 200, Lima, OH 45804

Secondary Practice Locations 5

Location 1140 Fox Rd Ste 103.5Van Wert, OH 45891-2475 · Phone (419) 224-5915 · Fax (419) 224-5918
Location 21211 E Columbus StKenton, OH 43326-1760 · Phone (419) 224-5915 · Fax (419) 224-5918
Location 3800 Pro DrCelina, OH 45822-1360 · Phone (419) 224-5915 · Fax (419) 224-5918
Location 4520 W Lincoln Ave Ste AAda, OH 45810-9466 · Phone (419) 224-5915 · Fax (419) 224-5918
Location 5915 Michigan St Ste 203Sidney, OH 45365-2401 · Phone (419) 224-5915 · Fax (419) 224-5918

Accepted 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 Anike Do 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 ID8325051964
PECOS Enrollment IDI20060726000144
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 34

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
850 services530 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.
779 services465 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.
646 services381 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
533 services361 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
210 services38 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
169 services169 patients

Hospital Affiliations CMS Care Compare 5

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number360058
Location800 West Main StreetColdwater, OH 45828 · Mercer County
Birthing friendly

Mary Rutan Hospital

Acute Care Hospitals · Bellefontaine, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360197
Location205 Palmer AvenueBellefontaine, OH 43311 · Logan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45804 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

88.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.88
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
76%1,416 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
24%223 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
35%223 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%4,235 patients4/55-star benchmark: 100%
e-Prescribing
98%2,812 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%4,227 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
98%1,073 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
92%1,735 patients5/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,533 patients
Patients totalRate: 0% · 1,533 patients
0%1,533 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.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier15 claims15 services$2,278.26 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.

Physician Assistant
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804
Physician Assistant (Surgical)
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804
Nurse Practitioner (Acute Care)
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804
Internal Medicine (Interventional Cardiology)
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804
Physician Assistant
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804
Physician Assistant
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804
Internal Medicine (Cardiovascular Disease)
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804
Internal Medicine (Cardiovascular Disease)
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804

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 Paul Anike's NPI number?

The NPI number for Paul Anike is 1831152859. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Paul Anike located?

Paul Anike practices at 1003 Bellefontaine Ave Ste 200, Lima, OH 45804. The listed phone number is (419) 224-5915.

What is Paul Anike's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul Anike enrolled in Medicare?

Yes. Paul Anike 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 Paul Anike accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Paul Anike 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 Paul Anike affiliated with any hospitals?

According to CMS data, Paul Anike is affiliated with Lima Memorial Health System, Wilson Memorial Hospital, Grand Lake Health System, Mercer County Joint Township Community Hospital and Mary Rutan Hospital.

When was this NPI record last updated?

The NPPES record for Paul Anike was last updated on December 29, 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.