DR. PAUL POLYAK M.D.
NPI 1194905745
Anesthesiology in Philadelphia, PA
About Dr. Paul Polyak M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL POLYAK M.D. (NPI 1194905745) is an individual anesthesiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD432748) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Mclaren Flint, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Paul Polyak M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Paul Polyak reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 16 clinicians in this Medicare group
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 130 clinicians in this Medicare group
Farmington Hills, MI 48334
- Reassigned Medicare billing, Michigan enrollment
- 24 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 40 clinicians in this Medicare group
Lapeer, MI 48446
- Reassigned Medicare billing, Michigan enrollment
- 145 clinicians in this Medicare group
Grayling, MI 49738
- Reassigned Medicare billing, Michigan enrollment
- 40 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Flint
Acute Care Hospitals · Flint, MIAscension Macomb Oakland Hosp-Warren Campus
Acute Care Hospitals · Warren, MIMclaren Port Huron
Acute Care Hospitals · Port Huron, MIAscension Providence Rochester Hospital
Acute Care Hospitals · Rochester, MIMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
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 Paul Polyak's NPI number?
The NPI number for Paul Polyak is 1194905745. It was assigned to this individual provider in the NPPES registry on November 13, 2007.
Where is Paul Polyak located?
Paul Polyak practices at 111 S 11th St Suite 8490, Philadelphia, PA 19107. The listed phone number is (215) 955-6161.
What is Paul Polyak's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Paul Polyak enrolled in Medicare?
Yes. Paul Polyak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Paul Polyak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Polyak reassigns Medicare benefits to 6 organizations: Lakeside Anesthesia Associates, PLLC (Mount Clemens, MI), Henry Ford Health System (Detroit, MI), Lakes Anesthesia, Plc (Farmington Hills, MI), Northland Anesthesia Associates, PC (Southfield, MI), Anesthesia Services Associates, PC (Lapeer, MI) and 1 more organization, listed in the Medicare section above. Each 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 Paul Polyak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Paul Polyak affiliated with any hospitals?
According to CMS data, Paul Polyak is affiliated with Mclaren Flint, Ascension Macomb Oakland Hosp-Warren Campus, Mclaren Port Huron and Ascension Providence Rochester Hospital.
When was this NPI record last updated?
The NPPES record for Paul Polyak was last updated on April 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Paul Polyak, M.D. · NPI 1194905745
Anesthesiology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 13, 2007.
## Identity
- **NPI:** 1194905745 (Entity type: Individual)
- **Enumerated:** November 13, 2007
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** MD432748 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 S 11TH ST, SUITE 8490, Philadelphia, PA 19107-4824
- **Phone:** (215) 955-6161 · **Fax:** (215) 923-5507
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Lakeside Anesthesia Associates, PLLC (NPI 1073534947, Mount Clemens, MI); Henry Ford Health System (NPI 1003989690, Detroit, MI); Lakes Anesthesia, Plc (NPI 1144261967, Farmington Hills, MI); Northland Anesthesia Associates, PC (NPI 1528001880, Southfield, MI); Anesthesia Services Associates, PC (NPI 1497797153, Lapeer, MI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** April 23, 2012
- **Other identifiers:** Medicaid 102144281 (PA); Medicare PIN 122398 (PA); Medicaid 0287512 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1194905745) · Data from the CMS NPPES public registry.