Individual provider Active NPI

Paul C. Coty, MD

  • Hematology & Oncology Physician
  • Tamuning, GU
National Provider Identifier
1386738862
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
M-1839 Issued in GU
Practice address
543 Chalan Guma Yu'Os
Tamuning, GU 96913-3630
Phone
(671) 649-4764
Fax
(671) 649-4765
NPI assigned
Oct 2, 2006
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD-12487 HI
Hematology & Oncology Physician 207RH0003X M-1839 GU Primary

Addresses

Primary practice location

543 Chalan Guma Yu'Os
Tamuning, GU 96913-3630

Mailing address

543 Chalan Guma Yu'Os
Tamuning, GU 96913-3630
Phone (671) 649-4764

Other identifiers 2

IdentifierTypeStateIssuer
539596-01MedicaidHI
0000242404OtherHIHMSA BILLING NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU, 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
I20150608003129 GU Practitioner - Hematology/Oncology 0941494181 Reassigns benefits to 1 organization
I20211118000971 NY Practitioner - Medical OncologyPractitioner - Hematology 0941494181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
State University of Ny Upstate Medical University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

2 Guthrie Dr
Corning, NY 14830-3697
Phone (607) 937-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-12487HIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Guthrie Medical Group, P.C. Hematology & Oncology CurrentSince Nov 1, 2021 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Jan 12, 2015 Accepting new patients
Guam Hematology Oncology Associates, Inc. CurrentSince Jun 1, 2026 Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

1082 Pale San Vitores Rd
Ste 22
Tamuning, GU 96913
Phone (671) 777-7017

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

2 Guthrie Dr
Corning, NY 14830
Phone (607) 937-3100

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: pcoty170087@direct-guthrie.org

Organizations & group practices 4

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

Hospital & facility affiliations 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1386738862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 CHALAN GUMA YU'OS",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133630",
            "telephone_number": "671-649-4764",
            "fax_number": "671-649-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 CHALAN GUMA YU'OS",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133630",
            "telephone_number": "671-649-4764",
            "fax_number": "671-649-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTY",
        "first_name": "PAUL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "HI",
            "license": "MD-12487",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GU",
            "license": "M-1839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "539596-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000242404",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.