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Deactivated NPI 1811170772 Deactivated / Inactive NPI Male Practitioner

Dr. Paul Kiyoshi Morimoto , MD

Ophthalmology • Joliet, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Morimoto has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 13, 2007
NPI Deactivation Date May 19, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Morimoto, MD was a registered Ophthalmology practicing in Joliet, IL. Throughout an active medical career spanning 10 years, Dr. Morimoto provided care at the practice location at 219 N HAMMES AVE until profile deactivation on 2017-05-19.

Practice Location & Contact Primary Location

Practice Address

219 N Hammes Ave

Joliet, IL 604358114

Telephone 8157413220
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Joliet, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.3 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Joliet, IL (954 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1356305643

Doctor of Medicine (M.D.)

NPI 1386140481

Doctor of Medicine (M.D.)

NPI 1548223233

Doctor of Medicine (M.D.)

NPI 1760131072

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 19, 2017

Record deactivated on May 19, 2017

NPI Profile Active December 13, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 13, 2007

Registered at 219 N HAMMES AVE, JOLIET, IL 604358114 (Tel: 8157413220)

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Updated Business Mailing Address December 13, 2007

Registered at 219 N HAMMES AVE, JOLIET, IL 604358114 (Tel: 8157413220)

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Provider Name / Credentials Updated December 13, 2007

Recorded as PAUL MORIMOTO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2007

Ophthalmology

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Initial NPI Registration & Enumeration December 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811170772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2007
Last Update: December 13, 2007
Deactivation Date: May 19, 2017

Mailing Address

219 N Hammes Ave

Joliet, IL 604358114

Phone: 8157413220

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.