SUBHADEEP PAUL (MD) – Surgery Physician, NPI 1134756893

SUBHADEEP PAUL (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. ME170580 (FL). The NPI Number for SUBHADEEP PAUL (MD) is 1134756893

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SUBHADEEP PAUL (MD)
NPI
1134756893
Phone
(786) 662-7980
Address
PO BOX 198054
Enumeration Date
24 March 2020
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
3054341400
Graduation Year
2020 (6 years ago)
PAC ID
2961918636
Group Practice PAC ID
4688763030
Professional Enrollment ID
I20250721000295
Address ID
FL330502329MA3303XHWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

2,166 GENERAL SURGERY in FL

Provider Addresses for SUBHADEEP PAUL (MD)

  • PO BOX 198054

    ATLANTA, GA 303848054

    Phone: (786) 662-7980

    Type: Mailing

  • 975 BAPTIST WAY STE 201

    HOMESTEAD, FL 330337600

    Phone: (305) 271-9777

    Fax: (786) 533-9361

    Type: Location

  • 1501 Kings Hwy # Surgery

    Shreveport, LA 711034228

    Phone: (318) 626-0617

    Type: Location

  • 3303 Overseas Hwy Ste 100

    Marathon, FL 330502329

    Phone: (305) 434-3400

    Fax: (786) 260-0513

    Type: Location

  • 1501 KINGS HWY # SURGERY

    SHREVEPORT, LA 711034228

    Phone: (318) 626-0617

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250721000295IGeneral SurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30384)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688763030View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL
-GA
General SurgeryFL
Physician AssistantFL
Nurse PractitionerFL
General SurgeryFL
-FL
Internal MedicineGA
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

How do payers reference SUBHADEEP PAUL (MD)?
For SUBHADEEP PAUL (MD), use NPI 1134756893 as the unique 10-digit identifier.
Active or inactive — what applies to SUBHADEEP PAUL (MD)?
You should see SUBHADEEP PAUL (MD) as active in CMS-hosted NPPES data.
What area of care is associated with SUBHADEEP PAUL (MD)?
SUBHADEEP PAUL (MD)'s record emphasizes Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SUBHADEEP PAUL (MD)?
Travel planning: use Atlanta, Georgia as the reference point for SUBHADEEP PAUL (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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