Individual provider Active NPI

Paul M Tender, M.D.

  • Colon & Rectal Surgery Physician
  • Chandler, AZ
National Provider Identifier
1326159088
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
036086469 Issued in IL
Practice address
963 N McQueen Rd
Chandler, AZ 85225-8149
Phone
(480) 646-8440
Fax
(480) 646-8441
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 036086469 IL Primary

Addresses

Primary practice location

963 N McQueen Rd
Chandler, AZ 85225-8149

Mailing address

963 N McQueen Rd
Chandler, AZ 85225-8149
Phone (480) 646-8440

Other identifiers 1

IdentifierTypeStateIssuer
099181MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211115001131 AZ Practitioner - Colorectal Surgery (Proctology) 3678514544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Wright State University Boonshoft School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sahai Surgical Specialists PLCGroup PAC ID 8729300397, 3 clinicians

Practice addresses (Care Compare)

963 N McQueen Rd
Chandler, AZ 85225-8149
Phone (480) 646-8440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036086469ILMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sahai Surgical Specialists, PLC Surgery CurrentSince Oct 15, 2021 Accepting new patients

Locations

963 N McQueen Rd
Chandler, AZ 85225
Phone (480) 398-1940

Organizations & group practices 1

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 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1326159088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 N MCQUEEN RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258149",
            "telephone_number": "480-646-8440",
            "fax_number": "480-646-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 N MCQUEEN RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258149",
            "telephone_number": "480-646-8440",
            "fax_number": "480-646-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENDER",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IL",
            "license": "036086469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099181",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.