Individual provider Active NPI

Paul F Palumbo, DO

  • Family Medicine Physician
  • Utica, NY
National Provider Identifier
1083617146
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
186525 Issued in NY
Practice address
421 Broad St
Utica, NY 13501-1208
Phone
(315) 271-9346
Fax
(315) 507-2449
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 186525 NY
Family Medicine Physician 207Q00000X 186525 NY Primary

Addresses

Primary practice location

421 Broad St
Utica, NY 13501-1208

Mailing address

421 Broad St
Utica, NY 13501-1208
Phone (315) 271-9346

Other identifiers 1

IdentifierTypeStateIssuer
00310852MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050105000841 NY Practitioner - Family PracticePractitioner - Dermatology 4284682303 Receives reassigned benefits from 1 practitioner
Practice locations: Utica, NY
I20250611001060 NY Practitioner - Emergency Medicine 4284682303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New England, College of Osteo Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delphi Healthcare PLLCGroup PAC ID 9537229661, 68 clinicians

Practice addresses (Care Compare)

1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000

421 Broad St
Suite 14
Utica, NY 13501-1210
Phone (315) 271-9346

Hospital & facility affiliations

  • Carthage Area Hospital, Inc Hospital, Carthage, NY, CCN 331318
  • Wynn Hospital Hospital, Utica, NY, CCN 330044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions482
Removal of nail tissue1-10
Removal or shaving of skin growth52
Skin biopsy16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
186525NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul F Palumbo CurrentSince Oct 23, 2020 Accepting new patients
Medical Services of Suffolk County PC Emergency Medicine CurrentSince Oct 11, 2016 Accepting new patients
Delphi Healthcare PLLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Medical Services of Suffolk County PC Emergency Medicine CurrentSince Oct 11, 2016 Accepting new patients
Douglas Ahn MD PLLC Family Medicine Past Accepting new patients
Cap Medical, LLC Family Medicine PastSince Jan 1, 2008 Accepting new patients

Locations

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

2 Ellinwood Dr
New Hartford, NY 13413
Phone (315) 507-5081

1170 Chili Ave
Rochester, NY 14624
Phone (585) 330-3374

421 Broad St
Ste 14
Utica, NY 13501
Phone (315) 271-9346

Interoperability endpoints

  • Direct secure messaging: paulpalumbomd@cnyfnp.medentdirect.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1083617146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BROAD ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011208",
            "telephone_number": "315-271-9346",
            "fax_number": "315-507-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BROAD ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011208",
            "telephone_number": "315-271-9346",
            "fax_number": "315-507-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "PAUL",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "186525",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "186525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00310852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.