PAUL S. GOTLIEB (M.D.) – Internal Medicine Physician, NPI 1578569042

PAUL S. GOTLIEB (M.D.) is a healthcare provider. based in Edina, Minnesota. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 34200 (MN). The NPI Number for PAUL S. GOTLIEB (M.D.) is 1578569042

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
PAUL S. GOTLIEB (M.D.)
NPI
1578569042
Phone
(952) 848-5600
Address
6545 CROSSTOWN AVE. S
Enumeration Date
21 June 2005
Last Update Date
29 March 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6519827000
Graduation Year
1989 (37 years ago)
PAC ID
1153375233
Group Practice PAC ID
7113830142
Professional Enrollment ID
I20060307000340
Address ID
MN550928013WY5200XBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,638 INTERNAL MEDICINE in MN

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Provider Addresses for PAUL S. GOTLIEB (M.D.)

  • 6545 CROSSTOWN AVE. S

    SUITE 150

    EDINA, MN 55435

    Phone: (952) 848-5600

    Fax: (952) 848-5556

    Type: Mailing

  • France Avenue South, Southdale, Edina, Hennepin County, Minnesota, 55431, United States

    SUITE 150

    EDINA, MN 554352131

    Phone: (952) 848-5600

    Fax: (952) 848-5556

    Type: Location

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: 2006-03-07

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
I20060307000340IInternal MedicineMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample511329$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test321264$0
99214Established patient office or other outpatient visit, 30-39 minutes299199$0
80061Blood test, lipids (cholesterol and triglycerides)270243$0
80053Blood test, comprehensive group of blood chemicals244224$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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Provider's Procedures

PAUL S. GOTLIEB (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMN83036Hemoglobin A1C level9570
INTERNAL MEDICINEMN90670Pneumococcal vaccine for injection into muscle4949

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: 7113830142View full group profile

Reviews

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Frequently asked questions

Does PAUL S. GOTLIEB (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PAUL S. GOTLIEB (M.D.) uses 1578569042.
Does the file indicate PAUL S. GOTLIEB (M.D.) is practicing under active NPI?
Directory data currently reports PAUL S. GOTLIEB (M.D.) as active.
What is PAUL S. GOTLIEB (M.D.)'s specialty?
The listing groups PAUL S. GOTLIEB (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does PAUL S. GOTLIEB (M.D.) list a practice location?
Patients near Edina, Minnesota may find PAUL S. GOTLIEB (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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