Individual provider Active NPI

Tanya Renee Paul, MD

  • Obstetrics & Gynecology Physician
  • Auburn, NY
National Provider Identifier
1548210966
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
218915 Issued in NY
Practice address
17 Lansing Street, 1St Floor
Auburn, NY 13021-1852
Phone
(315) 252-5082
Fax
(315) 252-1587
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 218915 NY Primary

Addresses

Primary practice location

17 Lansing Street, 1St Floor
Auburn, NY 13021-1852

Mailing address

17 Lansing St FL 1
Auburn, NY 13021-1983
Phone (315) 252-5082

Other identifiers 1

IdentifierTypeStateIssuer
02097161MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051109000948 NY Practitioner - Obstetrics/Gynecology 3870511694 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians
Upstate Community Medical, PCGroup PAC ID 0143238782, 153 clinicians

Practice addresses (Care Compare)

17 Lansing St
Suite 201
Auburn, NY 13021-1983
Phone (315) 252-8838

4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 492-5678

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218915NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Community Hospital CurrentSince Jan 6, 2022 Accepting new patients
Upstate Community Medical, PC CurrentSince Sep 1, 2025 Accepting new patients
Auburn Community Hospital CurrentSince Jan 6, 2022 Accepting new patients
St Josephs Hospital Health Center CurrentSince Nov 3, 2008 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Sep 2, 2013 Accepting new patients
Auburn Memorial Medical Services, PC Obstetrics & Gynecology CurrentSince Sep 2, 2013 Accepting new patients
Suny Health Science Center at Syracuse Past Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

17 Lansing St
Ofc
Auburn, NY 13021

17 Lansing St
#1
Auburn, NY 13021
Phone (315) 252-5028

143 North St
Ste 4
Auburn, NY 13021
Phone (315) 252-5028

17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

4900 Broad Rd
Rm 1352
Syracuse, NY 13215

4900 Broad Rd
Ste 2G
Syracuse, NY 13215
Phone (315) 299-5313

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678

Interoperability endpoints

  • Direct secure messaging: tpaul171890@direct.upstate.edu
  • Direct secure messaging: drtpaul@amms.medentdirect.com

Organizations & group practices 7

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1548210966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING ST FL 1",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-252-5082",
            "fax_number": "315-252-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LANSING STREET, 1ST FLOOR",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211852",
            "telephone_number": "315-252-5082",
            "fax_number": "315-252-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "TANYA",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "218915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02097161",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.