JOSE ANTONY PULIKKAL PAUL (MD) – Pulmonary Disease Physician, NPI 1629219936

JOSE ANTONY PULIKKAL PAUL (MD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials MD. They hold a License No. 95943 (GA). The NPI Number for JOSE ANTONY PULIKKAL PAUL (MD) is 1629219936

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JOSE ANTONY PULIKKAL PAUL (MD)
NPI
1629219936
Phone
(262) 240-0841
Address
PO BOX 70520
Enumeration Date
16 March 2009
Last Update Date
12 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702241000
Graduation Year
2005 (21 years ago)
PAC ID
7517138373
Group Practice PAC ID
9638343924
Professional Enrollment ID
I20230803003330
Address ID
GA301158015CA450XXBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:17State licenses:1Digital endpointsOther names

6,035 NURSE PRACTITIONER in WI

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Provider Addresses for JOSE ANTONY PULIKKAL PAUL (MD)

  • PO BOX 70520

    MILWAUKEE, WI 532070520

    Phone: (262) 240-0841

    Type: Mailing

  • 460 NORTHSIDE CHEROKEE BLVD STE 130

    CANTON, GA 301158017

    Phone: (678) 493-2527

    Fax: (678) 493-5608

    Type: Mailing

  • 3201, South 16th Street, Morgandale, Milwaukee, Milwaukee County, Wisconsin, 53215, United States

    SUITE 2015

    MILWAUKEE, WI 532154537

    Phone: (262) 240-0841

    Type: Location

  • 26 N 1900 E

    SALT LAKE CITY, UT 841320002

    Phone: (801) 581-7693

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $3,034.

Total Amount is formed as General ($3,034) + Research ($0) + Ownership ($0) = $3,034.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: STERIS CORPORATION ($2,065).

Total Amount

$3,034

General + Research + Ownership

Payments

44

Total payment records

General Amount

$3,034

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-08-03

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
I20230803003330INurse PractitionerGATBD

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
99291Critical care, first 30-74 minutes2316$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2319$0
99214Established patient office or other outpatient visit, 30-39 minutes1612$0
94010Test to measure expiratory airflow and volume1413$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 53207)

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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: 9638343924View full group profile
NameSpecialtyState
Family PracticeGA
Nurse PractitionerNC
Nurse PractitionerGA
Internal MedicineGA
Internal MedicineGA
Internal Medicine, EndocrinologyGA
-GA
-NV
N E U R O L O G YTX
-GA

Reviews

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Frequently asked questions

What identifier follows JOSE ANTONY PULIKKAL PAUL (MD) across health systems?
The NPI 1629219936 uniquely identifies JOSE ANTONY PULIKKAL PAUL (MD) in U.S. healthcare data.
Is JOSE ANTONY PULIKKAL PAUL (MD)'s NPI status active today?
Active status means JOSE ANTONY PULIKKAL PAUL (MD)'s NPI record is not deactivated in the public file.
What services align with JOSE ANTONY PULIKKAL PAUL (MD)'s listing?
JOSE ANTONY PULIKKAL PAUL (MD)'s public classification highlights Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is JOSE ANTONY PULIKKAL PAUL (MD) tied to Milwaukee, Wisconsin?
If you are local to Milwaukee, Wisconsin, JOSE ANTONY PULIKKAL PAUL (MD) may be relevant to your search.
Can I export JOSE ANTONY PULIKKAL PAUL (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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