Individual provider Active NPI

Paul Tyan

  • Obstetrics & Gynecology Physician
  • Leesburg, VA
National Provider Identifier
1740696186
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101269434 Issued in VA
Practice address
19450 Deerfield Ave Ste 460
Leesburg, VA 20176-6840
Phone
(571) 707-8522
Fax
(571) 707-8577
NPI assigned
Jul 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101269434 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

19450 Deerfield Ave Ste 460
Leesburg, VA 20176-6840

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (013) 408-3393

Other practice location 1

1909 19th street, NW
apartment 102
Washington, DC 20009
Phone (202) 445-4631

Other practice location 2

4040 Fairfax Dr Ste 801
Arlington, VA 22203-1765
Phone (571) 970-6050

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address paul.tyan.p1@direct.cwcare.nextgenshare.com Direct
Direct Messaging Address paul.tyan.p1@direct.cwcare.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20200820001969 VA Practitioner - Obstetrics/Gynecology 4486904471 Reassigns benefits to 1 organization
I20221006002086 DC Practitioner - Obstetrics/Gynecology 4486904471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

46179 Westlake Dr
Potomac Falls, VA 20165-5874
Phone (703) 430-7770

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101269434VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women's Care, L.L.C. Obstetrics & Gynecology CurrentSince Jun 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501

4040 Fairfax Dr
Ste 801
Arlington, VA 22203
Phone (571) 970-6050

19450 Deerfield Ave
Ste 460
Leesburg, VA 20176
Phone (571) 707-8522

46179 Westlake Dr
Ste 240
Potomac Falls, VA 20165
Phone (703) 368-1969

Interoperability endpoints

  • Direct secure messaging: paul.tyan.p1@direct.cwcare.nextgenshare.com
  • Direct secure messaging: paul.tynan.p1@direct.cwcare.nextgenshare.com
  • Direct secure messaging: paul.tyan.d1.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1740696186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "013-408-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19450 DEERFIELD AVE STE 460",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766840",
            "telephone_number": "571-707-8522",
            "fax_number": "571-707-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 19th street, NW",
            "address_2": "apartment 102",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20009",
            "country_code": "US",
            "telephone_number": "202-445-4631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4040 Fairfax Dr Ste 801",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222031765",
            "country_code": "US",
            "telephone_number": "571-970-6050",
            "fax_number": "571-970-6352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYAN",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101269434",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paul.tyan.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1909 19th street, NW",
            "address_2": "apartment 102",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "20009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paul.tyan.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19450 Deerfield Ave Ste 460",
            "city": "Leesburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201766840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.