TANYA PAUL (M.D) – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1003369331

TANYA PAUL (M.D) is a healthcare provider. based in Brooklyn, New York. specializing in EMERGENCY MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials M.D. They hold a License No. 35.143397 (OH). The NPI Number for TANYA PAUL (M.D) is 1003369331

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
TANYA PAUL (M.D)
NPI
1003369331
Phone
(646) 858-5580
Address
343 GOLD STREET, AVALON FORT GREENE
Enumeration Date
3 August 2016
Last Update Date
29 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9376414000
Graduation Year
2012 (14 years ago)
PAC ID
0749665123
Group Practice PAC ID
5496916124
Professional Enrollment ID
I20220921001976
Address ID
OH454041873DA1XXXXPLZX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Digital endpointsOther names

4,915 EMERGENCY MEDICINE in NY

Provider Addresses for TANYA PAUL (M.D)

  • 343 GOLD STREET, AVALON FORT GREENE

    APARTMENT #3402

    BROOKLYN, NY 11201

    Phone: (646) 858-5580

    Type: Mailing

  • SUNY DOWNSTATE MEDICAL CENTER, 450 CLARKSON AVENUE,

    BROOKLYN

    BROOKLYN, NY 11203

    Phone: (918) 270-1000

    Type: Location

  • PO BOX 933432

    CLEVELAND, OH 441930039

    Phone: (937) 641-3600

    Type: Mailing

  • 1 CHILDRENS PLZ

    DAYTON, OH 454041873

    Phone: (937) 641-3600

    Fax: (937) 641-5802

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220921001976IEmergency MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 11201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496916124View full group profile
NameSpecialtyState
Critical Care (Intensivists)OH
G A S T R O E N T E R O L O G YOH
-OH
Pediatric Medicine, General SurgeryOH
A N E S T H E S I O L O G YTN
Pediatric MedicineOH
Critical Care (Intensivists), Pediatric MedicineOH
H E M A T O L O G Y/ O N C O L O G YOH
Pediatric MedicineOH
N E U R O L O G YOH

Reviews

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Frequently asked questions

What identifier follows TANYA PAUL (M.D) across health systems?
The NPI 1003369331 uniquely identifies TANYA PAUL (M.D) in U.S. healthcare data.
Is TANYA PAUL (M.D)'s NPI status active today?
Active status means TANYA PAUL (M.D)'s NPI record is not deactivated in the public file.
What services align with TANYA PAUL (M.D)'s listing?
TANYA PAUL (M.D)'s public classification highlights Pediatric Emergency Medicine (Pediatrics) Physician. Clinical services aligned with this taxonomy classification.
Is TANYA PAUL (M.D) tied to Brooklyn, New York?
If you are local to Brooklyn, New York, TANYA PAUL (M.D) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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