Paul Girardi, D.O.
NPI 1265845473 · Internal Medicine Physician · Berkeley Heights, NJ
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Girardi, D.O. is a Internal Medicine Physician provider in Berkeley Heights, NJ (NPI 1265845473).
Provider details
- NPI number
- 1265845473
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MB10199800 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
2,257 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 465 | $139 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 194 | $141 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 174 | $9 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 141 | $10 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 134 | $18 |
| Blood Test, Lipids (cholesterol and Triglycerides) |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 61 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 254 | 84 |
| Rosuvastatin Calcium | 228 | 71 |
| Amlodipine Besylate | 187 | 63 |
| Levothyroxine Sodium | 100 | 32 |
| Metformin Hclbrand: Metformin Hcl Er | 96 | 31 |
| Lisinopril | 95 | 32 |
Practice location
Mailing address
Additional practice locations (2)
- 18 E Laurel RdStratford, NJ 08084-1327Phone: (856) 346-7985
- 2865 Daggett AveKlamath Falls, OR 97601Phone: (541) 274-6175Fax: (541) 274-6739
Registry dates
- Enumerated
- 2014-06-05
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Frequently asked questions
- What is Paul Girardi's NPI number?
- Paul Girardi's National Provider Identifier (NPI) is 1265845473, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Girardi's specialty?
- Paul Girardi is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Girardi located?
- Paul Girardi's practice location on file with NPPES is 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104.
- What is Paul Girardi's phone number?
- The practice phone number listed in the NPPES registry for Paul Girardi is (908) 277-8625.
- Does Paul Girardi accept Medicare?
- Paul Girardi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Girardi's NPI active?
- Yes — Paul Girardi's NPI (1265845473) is active in the NPPES registry as of the last update on 2025-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.