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CARLIE PAUL RD, LDN, CDE
NPI 1861739955
Dietitian, Registered in Chicago, IL

Active since January 09, 2013
87.08/100
CMS Quality Rating
5841 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-3542 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carlie Paul Rd, Ldn, Cde NPPES

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

CARLIE PAUL RD, LDN, CDE (NPI 1861739955) is an individual dietitian, registered in Chicago, Illinois, licensed in Illinois (164.005568) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1861739955
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCARLIE PAULCredential: RD, LDN, CDE
Location Address5841 S MARYLAND AVEChicago, IL 60637-1447
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Phone(773) 702-3542
Sole ProprietorNo
Enumeration DateJanuary 9, 2013
Last NPPES UpdateJune 28, 2017
✔ NPI 1861739955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IL · 164.005568
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
5841 S MARYLAND AVE, Chicago, IL 60637
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlie Paul Rd, Ldn, Cde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Carlie Paul reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Chicago
Same address
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200
Smg South State Health Center
1.5 mi
Family Medicine
5050 S STATE ST
Chicago, IL 60609
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Mount Sinai Community Foundation
  • 646 clinicians in this Medicare group
NPI 1366787012 (773) 257-1110
The Board Of Trustees Of The University Of Illinois
2.1 mi
Federally Qualified Health Center (FQHC)
6835 S NORMAL BLVD
Chicago, IL 60621
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1427600345 (312) 355-5801

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

DR. DON MARTINEZ M.D.
Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 926-8318
ALEXANDRA DUMITRESCU
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
PELEG HOROWITZ
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
SANDEEP GURBUXANI
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
DR. NIREN GANDRA M.D.
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-0240
ALLIE DAKROUB MD MS
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
SCOTT VASHER MD
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
DR. NATHAN CHARLES NOWALK M.D.
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200

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 Carlie Paul's NPI number?

The NPI number for Carlie Paul is 1861739955. It was assigned to this individual provider in the NPPES registry on January 9, 2013.

Where is Carlie Paul located?

Carlie Paul practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (773) 702-3542.

What is Carlie Paul's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Carlie Paul enrolled in Medicare?

Yes. Carlie Paul is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carlie Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlie Paul reassigns Medicare benefits to 3 organizations: University Of Chicago (Chicago, IL), Smg South State Health Center (Chicago, IL) and The Board Of Trustees Of The University Of Illinois (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlie Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carlie Paul was last updated on June 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.