CAROLINE R PAUL MD
NPI 1063480945
Pediatrics in New York, NY

Active since March 08, 2006PECOS Enrolled
555 LAGUARDIA PL, NEW YORK, NY 10012(608) 848-2334 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2021, Oct 26, 2020 (2 updates tracked since 2020).

About Caroline R Paul Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINE R PAUL MD (NPI 1063480945) is an individual pediatrics provider in New York, New York, licensed in Wisconsin (46319) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063480945
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAROLINE R PAULCredential: MD
Location Address555 LAGUARDIA PLNew York, NY 10012-1402
Mailing Address555 Laguardia PlNew York, NY 10012-1402
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
✔ NPI 1063480945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 46319
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
555 LAGUARDIA PL, New York, NY 10012

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline R Paul Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Caroline Paul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology
555 LAGUARDIA PL
NEW YORK, NY 10012
Internal Medicine (Gastroenterology)
555 LAGUARDIA PL
NEW YORK, NY 10012
Nurse Practitioner (Family)
555 LAGUARDIA PL
NEW YORK, NY 10012
Dermatology
555 LAGUARDIA PL
NEW YORK, NY 10012
Pediatrics
555 LAGUARDIA PL
NEW YORK, NY 10012
Dermatology
555 LAGUARDIA PL
NEW YORK, NY 10012
Internal Medicine
555 LAGUARDIA PL
NEW YORK, NY 10012
Nurse Practitioner (Family)
555 LAGUARDIA PL
NEW YORK, NY 10012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroline Paul's NPI number?

The NPI number for Caroline Paul is 1063480945. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Caroline Paul located?

Caroline Paul practices at 555 Laguardia Pl, New York, NY 10012. The listed phone number is (608) 848-2334.

What is Caroline Paul's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Caroline Paul enrolled in Medicare?

Yes. Caroline Paul is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caroline Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Paul reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Paul accept?

Health plans from Aspirus Health Plan list Caroline Paul as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caroline Paul was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.