DR. PAUL WILLIAM RORK MD
NPI 1225036445
Family Medicine in South Lake Tahoe, CA
About Dr. Paul William Rork Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL WILLIAM RORK MD (NPI 1225036445) is an individual family medicine provider in South Lake Tahoe, California, licensed in California (G41328) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Paul William Rork Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Paul Rork reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Lake Tahoe, CA 96150
- Reassigned Medicare billing, California enrollment
- 100 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 96150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SOUTH LAKE TAHOE, CA 96150
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 Rork's NPI number?
The NPI number for Paul Rork is 1225036445. It was assigned to this individual provider in the NPPES registry on July 12, 2005.
Where is Paul Rork located?
Paul Rork practices at 2201 South Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 543-5623.
What is Paul Rork's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Paul Rork enrolled in Medicare?
Yes. Paul Rork is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Paul Rork's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Rork reassigns Medicare benefits to Tahoe Carson Valley Medical Group Inc (South Lake Tahoe, CA). 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 Paul Rork's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Paul Rork was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 William Rork, MD · NPI 1225036445
Family Medicine physician in South Lake Tahoe, California. Individual provider, active in the CMS NPPES registry since July 12, 2005.
## Identity
- **NPI:** 1225036445 (Entity type: Individual)
- **Enumerated:** July 12, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** G41328 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2201 SOUTH AVE, South Lake Tahoe, CA 96150-7025
- **Phone:** (530) 543-5623 · **Fax:** (530) 541-5738
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tahoe Carson Valley Medical Group Inc (NPI 1508865528, South Lake Tahoe, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1225036445) · Data from the CMS NPPES public registry.