DR. PAUL LU TSO M.D.
NPI 1215993118
Transplant Surgery in Atlanta, GA
About Dr. Paul Lu Tso M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL LU TSO M.D. (NPI 1215993118) is an individual transplant surgery provider in Atlanta, Georgia, licensed in Georgia (047547) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of University Of Maryland School Of Medicine (1984).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 Lu Tso 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
2Medicare enrollment records show Paul Tso reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Brookhaven, GA 30329
- Reassigned Medicare billing, Georgia enrollment
- 251 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 3
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital
Acute Care Hospitals · Atlanta, GAEmory University Hospital Midtown
Acute Care Hospitals · Atlanta, GAMedicare 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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
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 Tso's NPI number?
The NPI number for Paul Tso is 1215993118. It was assigned to this individual provider in the NPPES registry on April 21, 2006.
Where is Paul Tso located?
Paul Tso practices at 101 Woodruff Circle Room 5105 Wmb, Atlanta, GA 30322. The listed phone number is (404) 727-9942.
What is Paul Tso's specialty?
The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.
Is Paul Tso enrolled in Medicare?
Yes. Paul Tso 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 Tso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Tso reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Choa Hospital Based, LLC (Brookhaven, GA). 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 Tso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Tso accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Paul Tso 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.
Is Paul Tso affiliated with any hospitals?
According to CMS data, Paul Tso is affiliated with Emory University Hospital and Emory University Hospital Midtown.
When was this NPI record last updated?
The NPPES record for Paul Tso was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 Lu Tso, M.D. · NPI 1215993118
Transplant Surgery physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since April 21, 2006.
## Identity
- **NPI:** 1215993118 (Entity type: Individual)
- **Enumerated:** April 21, 2006
- **Primary specialty:** Transplant Surgery · taxonomy 204F00000X
- **State license:** 047547 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 WOODRUFF CIRCLE, ROOM 5105 WMB, Atlanta, GA 30322-0001
- **Phone:** (404) 727-9942 · **Fax:** (404) 727-3660
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Choa Hospital Based, LLC (NPI 1457695488, Brookhaven, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 1984
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215993118) · Data from the CMS NPPES public registry.