Paul Edward Dejac, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

285386 Issued in NY

Practice address

656 Elmwood Ave
Buffalo, NY 14222-1836

Phone

(716) 883-0515

Fax

(716) 883-8764

NPI assigned

May 9, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

State University of New York at Buffalo School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paul Dejac Physician PCGroup PAC ID 6709257108, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paul.dejac@medicalcareofwny.chartmakerdirect.com

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.

• Paul Dejac Physician PC

  • Physical Medicine & Rehabilitation Physician
  • Buffalo, NY
  • NPI 1548971831

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1457796997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221836",
            "telephone_number": "716-845-2300",
            "fax_number": "716-845-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221836",
            "telephone_number": "716-883-0515",
            "fax_number": "716-883-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJAC",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "285386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Degiovanni, MD
• Michael Edward Degnan, MSC
• Joseph M Degweck
• Mary Ann Catherine Deibel-Braun, LCSW
• Rebecca Deitzer, RPA-C
• Shamecca Dejarnette
• Garrett Dejesus, M.D.
• Calvin Dejong
• Faye Del Carmen, BSN, RN, CRNA
• Janel M Delair

• Internal Medicine Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.